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Bile or Pancreatic Duct Stent Exchange

Wisconsin 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 $8,318 · 10th–90th $661$16,9820%5%10%10th90th$8,318Professionalmedian $977 · 10th–90th $550$1,5140%10%10th90th$977$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
$524.81
Median
$5,754.40
Typical High
$10,715.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,412.54
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$3,981.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$8,317.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$954.99
Quartz
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$977.24
Typical High
$1,513.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$14,454.40
Typical High
$20,892.96
Quartz
Setting
Facility
Modifier
22 · Increased work
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,413.10
Typical High
$9,120.11