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Iowa 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
$4,168.69 / $4,786.30 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $9,772.37 / $9,772.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $9,120.11 / $9,120.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $13,489.63 / $25,118.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $7,079.46 / $25,118.86