go back

New York 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
$660.69 / $3,801.89 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $5,623.41 / $12,302.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,089.30 / $6,918.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $724.44 / $14,454.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $562.34 / $1,445.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,265.80 / $9,772.37
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $512.86 / $812.83