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Bile or Pancreatic Duct Stent Exchange

Virginia 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 $912 · 10th–90th $513$7,9430%5%10%10th90th$912Professionalmedian $501 · 10th–90th $407$1,0960%20%10th90th$501$500.0$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
$549.54
Median
$3,630.78
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,413.10
Typical High
$9,332.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,235.94
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,096.48
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,754.40
Typical High
$13,182.57