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Iowa rates for HCPCS 47425

Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty

Facilitymedian $3,020 · 10th–90th $1,380–$7,2440%10%20%10th90th$3,020Professionalmedian $1,622 · 10th–90th $1,230–$3,5480%20%10th90th$1,622$10.0$50.0$200.0$1.0K$5.0K

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
$2,238.72 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,548.82 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $3,019.95 / $3,715.35
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,818.38 / $5,128.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,344.23 / $4,677.35
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,511.89 / $9,772.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,090.30 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,630.27 / $3,715.35
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $2,630.27 / $3,467.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $4,897.79 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,949.84 / $3,630.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,630.27 / $3,090.30