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Arizona 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
$105.14 / $234.18 / $317.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.55 / $181.20 / $421.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $75.20 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.01 / $149.35 / $186.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.29 / $60.38 / $75.48
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $86.87 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.47 / $206.54 / $324.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.15 / $89.18 / $146.33
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.26 / $343.65 / $343.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.07 / $192.19 / $1,115.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.87 / $82.13 / $476.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.50 / $179.00 / $297.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.86 / $80.12 / $132.01