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Washington, DC 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
$67.61 / $295.12 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $70.79 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $194.98 / $616.60
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $81.28 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $85.11 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $204.17 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $83.18 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $524.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $77.62 / $218.78