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West Virginia 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
$72.93 / $72.93 / $72.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.55 / $165.52 / $188.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $72.93 / $161.37
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.62 / $85.16 / $175.02
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $86.87 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.83 / $223.31 / $453.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.48 / $102.23 / $226.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.99 / $162.25 / $322.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.05 / $90.71 / $206.32