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Utah rates for HCPCS 76872

Echography, Prostate, Transrectal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $39.81 / $141.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $102.33 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $134.90 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $75.86
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $380.19
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $61.66 / $93.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $204.17 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $302.00 / $331.13
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $51.29 / $74.13
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $251.19 / $263.03
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $173.78 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $158.49 / $263.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $34.67 / $56.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $125.89 / $208.93