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New Mexico 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
$2,040.00 / $7,336.07 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,765.00 / $17,765.00 / $17,765.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,161.87 / $21,979.46 / $36,821.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,834.00 / $6,599.00 / $7,158.00