go back

Michigan rates for HCPCS 76872

Ultrasound, transrectal;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $37.82 / $47.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.48 / $154.59 / $283.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.98 / $37.82 / $99.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.75 / $116.76 / $241.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.32 / $136.32 / $160.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.70 / $40.90 / $65.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.72 / $293.31 / $351.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.13 / $51.13 / $51.13
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.57 / $262.57 / $262.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.50 / $176.84 / $239.38
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
$99.07 / $174.36 / $419.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.17 / $40.69 / $91.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.42 / $131.66 / $386.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.26 / $37.82 / $47.65
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.24 / $154.59 / $253.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.26 / $37.82 / $66.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.97 / $116.76 / $178.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $121.05 / $199.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.64 / $146.50 / $212.35
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.13 / $37.08 / $51.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.81 / $107.02 / $165.95