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Florida 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

Facilitymedian $5,370 · 10th–90th $1,000–$12,3030%5%10%10th90th$5,370$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,570.88 / $10,471.29
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $4,073.80 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,348.96 / $2,089.30
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $12,882.50 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $5,248.07 / $9,549.93