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Illinois 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
$1,018.00 / $3,221.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,811.00 / $9,804.54 / $9,804.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,523.21 / $13,205.99 / $17,061.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.00 / $3,733.00 / $6,625.00