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Massachusetts 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
$57.54 / $123.03 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $588.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $77.62 / $239.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $186.21 / $478.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $1,122.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $104.71 / $478.63
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $147.91 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $245.47 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $109.65 / $213.80
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $173.78 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $302.00 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $134.90 / $208.93
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.11 / $186.21 / $478.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $234.42 / $1,122.02
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $100.00 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $489.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $104.71 / $208.93