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Oklahoma 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
$60.26 / $75.86 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $72.44 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $165.96 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $74.13 / $125.89
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.83 / $346.74 / $346.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $85.11 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $251.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $81.28 / $112.20