go back

Missouri 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
$2,183.50 / $4,498.00 / $10,043.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.00 / $4,498.00 / $8,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $3,133.00 / $14,706.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,790.00 / $2,849.00 / $5,800.00