go back

Iowa rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$121.51 / $236.01 / $437.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $166.08 / $265.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.89 / $71.78 / $118.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$231.26 / $238.20 / $245.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.34 / $409.57 / $511.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.79 / $175.31 / $219.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.90 / $260.07 / $548.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.62 / $116.59 / $222.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$238.20 / $343.65 / $343.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.92 / $273.00 / $1,115.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.00 / $100.27 / $476.34
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$238.20 / $245.14 / $425.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.00 / $358.51 / $486.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.50 / $231.50 / $483.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.18 / $199.81 / $382.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.00 / $96.14 / $177.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.45 / $310.70 / $365.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.33 / $134.60 / $158.30