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New York rates for HCPCS 76873

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

Facilitymedian $112 · 10th–90th $62$2450%10%20%10th90th$112Professionalmedian $148 · 10th–90th $66$3240%5%10%10th90th$148$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
$77.62 / $114.82 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $181.97 / $398.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $77.62 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $165.96 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $151.36
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $251.19
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 / $245.47 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $109.65 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $229.09 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $114.82 / $162.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $398.11
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $102.33 / $181.97
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $245.47 / $371.54
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $107.15 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $234.42 / $645.65
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $97.72 / $275.42
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $89.13 / $251.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $446.68
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $100.00 / $199.53