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Kansas 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
$2,800.00 / $6,071.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.00 / $5,467.00 / $9,214.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $4,342.14 / $5,694.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $2,902.00 / $6,026.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,562.00