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Delaware 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
$87.10 / $102.33 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $165.96 / $257.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $70.79 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $316.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $85.11 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $316.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $85.11 / $134.90