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North Carolina 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
$2,058.92 / $6,953.60 / $10,034.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $8,442.00 / $10,561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.00 / $6,885.00 / $9,616.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00