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Louisiana 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 / $95.50 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $75.86 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $275.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $97.72 / $128.82
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $75.86 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $81.28 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $269.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $77.62 / $120.23