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Wyoming 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
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $354.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $77.62 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $691.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $281.84 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $128.82 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $316.23 / $575.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $141.25 / $251.19