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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.

Facilitymedian $4,074 · 10th–90th $479$4,2660%50%10th90th$4,074$50.0$200.0$1.0K$5.0K

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
$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