go back

Virginia 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
$501.19 / $3,630.78 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,760.83 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,698.24 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $977.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $549.54 / $870.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $575.44 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,025.60 / $13,803.84