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Rhode Island rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$474.61 / $474.61 / $474.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.03 / $171.35 / $178.06
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.40 / $71.78 / $75.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $218.71 / $340.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.87 / $94.10 / $146.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.68 / $245.10 / $358.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.62 / $110.63 / $158.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.15 / $189.98 / $324.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.75 / $96.47 / $144.44