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Arizona rates for HCPCS 76872

Ultrasound, transrectal;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.86 / $62.44 / $119.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.48 / $161.35 / $422.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.53 / $34.08 / $169.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.95 / $109.52 / $208.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.31 / $214.08 / $253.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.98 / $24.70 / $41.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.89 / $123.85 / $192.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.16 / $25.54 / $31.93
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.73 / $98.30 / $122.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.04 / $37.04 / $37.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.03 / $168.18 / $307.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.02 / $39.42 / $63.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.27 / $133.54 / $250.27
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$147.81 / $147.81 / $147.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.89 / $159.88 / $898.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.19 / $37.11 / $371.50
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.45 / $125.59 / $695.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.24 / $159.88 / $257.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.19 / $34.54 / $60.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.81 / $125.59 / $213.70