go back

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
$66.07 / $74.13 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $323.59
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $74.13 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $162.18 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $74.13 / $117.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $112.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.62 / $87.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $109.65 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $275.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $81.28 / $128.82