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New Mexico rates for HCPCS 76873

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

Facilitymedian $110 · 10th–90th $105–$1100%50%10th$110Professionalmedian $129 · 10th–90th $60–$2510%5%10%10th90th$129$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
$104.71 / $109.65 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $165.96 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $120.23 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $302.00
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $97.72 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $269.15 / $398.11
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $100.00 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $190.55 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $81.28 / $151.36