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Connecticut 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
$93.33 / $295.12 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $72.44 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $91.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $251.19 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $104.71 / $204.17
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $275.42
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $102.33 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $346.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $85.11 / $147.91