# CPT 43276: Ercp Biliary/panc Duct Stent Exchange W/dil&wire

Medicare CPT 43276 pays $419.18 in a non-facility setting and $419.18 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $389.41 in Arkansas to $554.85 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43276-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $419.18 |
| National facility | $419.18 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $554.85 | $554.85 |
| New York | $455.99 | $455.99 |
| District of Columbia | $455.97 | $455.97 |
| Florida | $450.50 | $450.50 |
| New Jersey | $449.13 | $449.13 |
| Illinois | $446.69 | $446.69 |
| Connecticut | $439.40 | $439.40 |
| Washington | $435.14 | $435.14 |
| Massachusetts | $434.44 | $434.44 |
| California | $432.58 | $432.58 |
| Maryland | $429.65 | $429.65 |
| Michigan | $426.51 | $426.51 |
| Rhode Island | $424.37 | $424.37 |
| Pennsylvania | $422.01 | $422.01 |
| Colorado | $421.77 | $421.77 |
| Georgia | $421.51 | $421.51 |
| West Virginia | $420.38 | $420.38 |
| Puerto Rico | $419.77 | $419.77 |
| Virgin Islands | $419.77 | $419.77 |
| New Hampshire | $419.13 | $419.13 |
| Montana | $419.12 | $419.12 |
| Hawaii | $418.90 | $418.90 |
| Oregon | $417.71 | $417.71 |
| New Mexico | $417.58 | $417.58 |
| Texas | $416.91 | $416.91 |
| Delaware | $416.13 | $416.13 |
| Nevada | $413.81 | $413.81 |
| Louisiana | $412.15 | $412.15 |
| Arizona | $411.41 | $411.41 |
| Ohio | $410.87 | $410.87 |
| Wyoming | $410.67 | $410.67 |
| Missouri | $410.56 | $410.56 |
| Utah | $409.93 | $409.93 |
| Virginia | $407.88 | $407.88 |
| South Carolina | $406.78 | $406.78 |
| Kentucky | $405.46 | $405.46 |
| Maine | $402.58 | $402.58 |
| Vermont | $402.03 | $402.03 |
| Oklahoma | $401.34 | $401.34 |
| North Carolina | $400.76 | $400.76 |
| North Dakota | $399.74 | $399.74 |
| Minnesota | $398.99 | $398.99 |
| South Dakota | $397.45 | $397.45 |
| Mississippi | $396.94 | $396.94 |
| Indiana | $395.16 | $395.16 |
| Tennessee | $395.06 | $395.06 |
| Idaho | $394.05 | $394.05 |
| Kansas | $393.49 | $393.49 |
| Alabama | $392.66 | $392.66 |
| Wisconsin | $392.39 | $392.39 |
| Nebraska | $391.23 | $391.23 |
| Iowa | $391.07 | $391.07 |
| Arkansas | $389.41 | $389.41 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 43276 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules