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Washington 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 $1,122 · 10th–90th $589–$14,7910%5%10%10th90th$1,122$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$794.33 / $6,456.54 / $20,892.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $10,232.93 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $724.44 / $5,370.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $891.25 / $4,677.35
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $831.76 / $851.14
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $588.84 / $2,454.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $10,715.19 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $10,964.78 / $21,379.62