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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.

How much does Bile or Pancreatic Duct Stent Exchange cost?

$813

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $646 to $912.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $933 · 10th to 90th $457 to $4,365Professionalmedian $813 · 10th to 90th $617 to $1,023
$500$1K$2K$5K$10Kfacility $933professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where South Dakota sits

The same service costs 22.4 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 45th of 50

$813

IN $10,965ND $490

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.