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Nevada 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
$2,240.00 / $3,463.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,804.54 / $9,804.54 / $9,804.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,028.96 / $5,028.96 / $5,028.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $425.00 / $7,595.19
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,904.72 / $10,219.77 / $10,219.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.00 / $3,000.00 / $7,221.00