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Tennessee 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
$1,096.48 / $2,630.27 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $9,772.37 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,943.28 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $6,309.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57