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Missouri rates for HCPCS 76873

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

Facilitymedian $158 · 10th–90th $66$2340%20%40%10th90th$158Professionalmedian $145 · 10th–90th $66$2880%5%10%10th90th$145$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
$66.07 / $158.49 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $74.13 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $91.20 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $194.98 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$83.18 / $89.13 / $128.82
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$18.62 / $87.10 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $204.17 / $380.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $95.50 / $194.98
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $100.00 / $478.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $186.21 / $302.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $85.11 / $134.90