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Massachusetts rates for HCPCS 43276

Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged

Facilitymedian $3,162 · 10th–90th $490–$5,6230%5%10th90th$3,162$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,344.23 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $741.31 / $6,760.83
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $3,311.31
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $3,801.89 / $9,772.37
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,884.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $2,344.23 / $11,220.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $3,548.13 / $10,964.78