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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
$933.25 / $3,019.95 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $9,772.37 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,413.10 / $10,471.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,754.23 / $11,481.54