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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
$204.17 / $263.03 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $75.86 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $288.40
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $67.61 / $117.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $87.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $204.17 / $354.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $158.49
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.83 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $190.55 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $81.28 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $269.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $79.43 / $125.89