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Iowa 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
$4,146.00 / $4,964.00 / $9,185.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,760.00 / $4,760.00 / $4,760.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $9,214.02 / $9,214.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,321.00 / $8,863.74 / $24,681.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,169.55 / $7,695.32 / $9,559.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,988.00 / $8,342.00