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Mississippi 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
$70.79 / $70.79 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $72.44 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $165.96 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $218.78 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $102.33 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $177.83 / $295.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $79.43 / $144.54