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New York 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.15 / $3,457.00 / $8,877.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,070.00 / $6,992.00 / $12,173.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.73 / $2,071.00 / $6,865.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.36 / $541.36 / $13,296.25
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $552.00 / $1,204.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.33 / $442.33 / $639.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,803.52 / $14,043.78 / $14,247.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.36 / $597.00 / $13,296.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $3,972.00 / $9,202.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.72 / $568.72 / $1,030.38