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Maryland 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
Professional
Modifier
Low / Median / High Price
$7,793.40 / $7,793.40 / $7,793.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.00 / $2,675.00 / $2,675.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.18 / $5,040.18 / $5,040.18