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Nebraska 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
$5,463.36 / $10,975.77 / $22,021.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $9,185.68 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,732.29 / $13,189.77 / $24,760.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $7,934.00 / $15,405.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,169.55 / $8,180.98 / $11,232.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,356.00 / $7,772.00