go back

Idaho 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
$3,388.44 / $5,495.41 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $18,197.01 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $15,135.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,495.41 / $11,481.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $8,709.64 / $9,772.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $20,892.96 / $29,512.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,135.61 / $21,877.62 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69