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Nationwide rates for HCPCS C9761

Cystourethroscopy With Ureteroscopy And/Or Pyelo-Scopy With Lithotripsy And Ureteral Catheterization For Steerable Vacuum Aspiration Of The Kidney Collecting System Ureter Bladder And Urethra Ifapplicable (Must Use A Steerable Ureteral Catheter) (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,465.00 / $5,484.00 / $9,497.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,372.70 / $9,804.54 / $9,804.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.00 / $7,362.00 / $14,321.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.01 / $158.51 / $165.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,081.57 / $6,405.61 / $6,860.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,015.00 / $4,269.00 / $7,581.50