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Alaska rates for HCPCS 76873

Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)

Facilitymedian $245 · 10th–90th $245$2450%50%100%$245Professionalmedian $170 · 10th–90th $68$5250%5%10th90th$170$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $181.97 / $501.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $79.43 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $281.84 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $125.89 / $263.03
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $512.86 / $933.25
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $234.42 / $398.11
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $707.95 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $309.03 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $331.13 / $549.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $104.71 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $436.52 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $218.78 / $467.74