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Ohio rates for HCPCS C9769

Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,624.34 / $65,624.34 / $65,624.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104,998.95 / $104,998.95 / $104,998.95