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North Dakota 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
$77.62 / $79.43 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $263.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $72.44 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $446.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $173.78 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $269.15 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $114.82 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $309.03 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $141.25 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $436.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $117.49 / $194.98