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South Carolina rates for HCPCS C9761

Cystourethroscopy With Ureteroscopy And/Or Pyelo-Scopy With Lithotripsy And Ureteral Catheterization For Steerable Vacuum Aspiration Of The Kidney Collecting System Ureter Bladder And Urethra Ifapplicable (Must Use A Steerable Ureteral Catheter) (Desc Rvsd 1/1/23)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,960.00 / $11,018.00 / $20,498.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $11,269.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,369.87 / $7,224.02 / $12,146.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,081.57 / $6,081.57 / $7,814.93
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,745.92 / $12,745.92 / $12,745.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,524.58 / $8,524.58 / $8,524.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.00 / $10,257.00 / $16,816.00