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Minnesota rates for HCPCS 76873

Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)

Facilitymedian $251 · 10th–90th $78–$5370%10%10th90th$251Professionalmedian $191 · 10th–90th $74–$5130%5%10th90th$191$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $173.78 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $75.86 / $177.83
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $66.07 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $630.96
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$128.82 / $190.55 / $275.42
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$123.03 / $275.42 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $144.54 / $229.09
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$218.78 / $269.15 / $537.03
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $446.68
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $190.55
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $134.90 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $549.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $134.90 / $234.42