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Texas 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
$993.00 / $3,682.00 / $12,377.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,804.54 / $9,804.54 / $9,804.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,020.04 / $6,643.64 / $13,244.97
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,826.68 / $8,507.87 / $12,156.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,314.50 / $12,314.50 / $12,314.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,860.97 / $6,860.97 / $6,860.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,804.54 / $9,804.54 / $10,490.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,860.97 / $6,860.97 / $9,804.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.00 / $4,114.00 / $8,226.00