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Alaska rates for HCPCS 76872

Us Transrectal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.86 / $100.86 / $100.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.48 / $169.06 / $565.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.53 / $36.19 / $155.49
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.95 / $132.86 / $293.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.03 / $193.94 / $469.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.31 / $61.20 / $118.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.86 / $125.72 / $350.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.54 / $571.55 / $1,124.23
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.63 / $93.15 / $217.81
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$369.95 / $478.41 / $906.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.80 / $736.25 / $991.80
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.75 / $137.75 / $192.00
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.00 / $616.25 / $820.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.24 / $446.96 / $852.33
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.45 / $142.50 / $215.65
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.06 / $426.02 / $798.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.68 / $518.09 / $782.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.08 / $118.78 / $201.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.59 / $280.50 / $561.00