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New Mexico 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
$56.60 / $56.60 / $118.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.63 / $183.11 / $880.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.60 / $78.43 / $180.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.13 / $139.80 / $305.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $216.78 / $300.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.13 / $97.75 / $135.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $90.96 / $198.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.50 / $266.39 / $395.65
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.29 / $106.23 / $135.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.66 / $179.06 / $352.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.15 / $82.13 / $176.17