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Kentucky 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
$66.17 / $73.52 / $96.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.25 / $164.73 / $290.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.17 / $73.37 / $118.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.88 / $55.88 / $55.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.63 / $162.00 / $250.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.62 / $80.12 / $120.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.62 / $99.57 / $193.63
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $86.87 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.06 / $215.45 / $338.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.03 / $100.83 / $156.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $114.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.05 / $178.98 / $245.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.28 / $81.31 / $115.47