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Illinois 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 $2,884 · 10th–90th $813–$8,5110%5%10th90th$2,884Professionalmedian $1,148 · 10th–90th $457–$2,2910%10%10th90th$1,148$100.0$500.0$2.0K$10.0K

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
$724.44 / $2,570.40 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $5,495.41 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $4,570.88 / $10,000.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,148.15 / $2,290.87
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,388.44 / $7,585.78