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Kansas 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
$85.11 / $123.03 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $72.44 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $323.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $89.13 / $144.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.83 / $177.83 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $100.00 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $288.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $85.11 / $134.90