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Hawaii rates for HCPCS 76873

Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)

Facilitymedian $87 · 10th–90th $78$1020%10%20%10th90th$87Professionalmedian $151 · 10th–90th $68$2950%5%10%10th90th$151$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $87.10 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $177.83 / $407.38
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $95.50 / $165.96
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $251.19
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $100.00 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $234.42 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $93.33 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $97.72 / $158.49
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $281.84 / $389.05
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $114.82 / $165.96