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Louisiana 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
$756.00 / $2,574.00 / $4,991.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $3,685.00 / $9,804.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,172.80 / $7,454.00 / $10,637.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,314.50 / $12,314.50 / $12,314.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$826.00 / $2,653.00 / $6,661.00