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Arkansas rates for HCPCS 76873

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $114.82 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $70.79 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $194.98 / $251.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $91.20 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $223.87 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $102.33 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $302.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $87.10 / $141.25