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Iowa rates for HCPCS 76873

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

Facilitymedian $120 · 10th–90th $68$3470%20%40%10th90th$120Professionalmedian $148 · 10th–90th $65$3310%10%10th90th$148$50.0$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
$67.61 / $67.61 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $165.96 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $72.44 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $416.87 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $177.83 / $223.87
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $549.54
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $154.88 / $234.42
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$239.88 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $275.42 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $100.00 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $389.05 / $446.68
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $173.78 / $281.84
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $489.78
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $177.83 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $93.33 / $177.83
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $134.90 / $158.49