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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
$2,993.72 / $3,706.14 / $3,955.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,887.20 / $9,968.79 / $20,019.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.00 / $3,447.00 / $5,685.00