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California rates for HCPCS 43278

Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,413.10 / $18,197.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,311.31 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,238.72 / $3,548.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $416.87 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $851.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $10,715.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $512.86 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $7,244.36 / $15,135.61