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Bile or Pancreatic Duct Stent Exchange

South Dakota 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 $933 · 10th–90th $457$4,3650%5%10%10th90th$933Professionalmedian $813 · 10th–90th $617$1,0230%10%20%10th90th$813$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$3,548.13
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$933.25
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$758.58
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,148.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$12,302.69