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Minnesota 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
$6,205.00 / $6,575.00 / $9,469.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,992.00 / $1,992.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,003.99 / $21,247.11 / $37,254.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $6,740.00 / $23,955.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.00 / $4,289.00 / $8,193.00