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Vermont rates for HCPCS 76873

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $77.62 / $162.18
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $245.47 / $741.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $109.65 / $316.23
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $741.31
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $83.18 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $467.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $91.20 / $190.55