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Ohio rates for HCPCS 76872

Ultrasound, transrectal;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.24 / $42.54 / $109.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.48 / $155.34 / $367.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.09 / $35.70 / $100.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.83 / $100.06 / $189.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $144.88 / $177.87
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.00 / $25.80 / $42.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.09 / $129.12 / $206.34
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.28 / $40.71 / $64.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.81 / $85.37 / $152.46
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.34 / $207.34 / $279.38
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.81 / $35.81 / $48.26
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.51 / $171.51 / $231.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.39 / $174.85 / $245.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.98 / $192.69 / $330.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.15 / $42.81 / $68.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.09 / $148.05 / $270.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.22 / $193.28 / $324.43
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $44.01 / $71.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.53 / $159.88 / $270.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.43 / $126.16 / $221.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.18 / $159.88 / $275.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.49 / $37.82 / $60.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.70 / $125.59 / $209.03