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Bile or Pancreatic Duct Stent Exchange

West 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.

How much does Bile or Pancreatic Duct Stent Exchange cost?

$4,074

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,413 to $4,266.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $479 to $4,266
$500$1K$2K$5Kfacility $4,074

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$4,073.80
Typical High
$4,265.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$4,073.80
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,951.21
Typical High
$16,982.44

Where West Virginia 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.

West Virginia· 18th of 50

$4,074

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.