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Delaware rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.39 / $99.39 / $185.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.19 / $169.35 / $232.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $71.78 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.08 / $181.35 / $314.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.59 / $80.65 / $134.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.31 / $183.21 / $393.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.81 / $87.67 / $175.14