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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
$60.84 / $72.20 / $405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.93 / $145.63 / $188.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.10 / $62.68 / $78.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.21 / $165.90 / $227.80
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.34 / $71.34 / $114.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.66 / $156.69 / $245.58
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.65 / $73.45 / $112.42
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$179.26 / $343.65 / $343.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.72 / $195.39 / $1,115.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.70 / $84.13 / $476.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.15 / $185.80 / $271.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.09 / $82.13 / $122.88