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Nationwide rates for HCPCS C9761

Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $5,495.41 / $13,182.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $9,772.37 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,511.38 / $16,982.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $4,897.79 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $4,786.30 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $10,715.19 / $18,197.01