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Pennsylvania 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
$776.25 / $4,265.80 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,691.53 / $5,248.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $3,801.89 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $870.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,951.21 / $11,220.18