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New Jersey 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
$4,570.88 / $8,128.31 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $9,772.37 / $12,302.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $29,512.09 / $46,773.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,606.93 / $11,220.18