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Virginia 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
$3,226.00 / $6,366.93 / $11,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.00 / $3,633.00 / $7,266.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,496.00 / $4,646.00 / $5,354.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,524.00 / $5,979.00 / $13,217.00