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Bile or Pancreatic Duct Stent Exchange

New Jersey rates for HCPCS 43276

During an examination in which a scope is passed through the mouth to where the bile and pancreatic ducts drain into the intestine, an existing stent — a small tube holding the duct open — is taken out and a new one is put in its place. The duct may be stretched open before and after, with a guide wire used to hold the path. It is done when a stent has clogged, slipped, or simply reached the end of its useful life.

Rates data updated July 2026.

Facilitymedian $6,310 · 10th–90th $2,512$10,4710%10%10th90th$6,310$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,309.57
Typical High
$10,471.29
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,079.46
Typical High
$12,022.64
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$19,952.62
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$5,754.40
Typical High
$10,964.78