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Rhode Island 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
$3,019.95 / $3,019.95 / $3,981.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $10,000.00 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $4,677.35 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $14,791.08