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Oklahoma 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
$1,392.00 / $4,195.00 / $13,200.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.00 / $4,195.00 / $7,310.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,450.57 / $8,614.95 / $13,717.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $3,317.00 / $5,962.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.00 / $3,680.00 / $5,847.50