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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
$73.17 / $73.17 / $74.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.93 / $189.94 / $210.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.10 / $75.36 / $98.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.00 / $734.00 / $734.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.00 / $317.00 / $317.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.72 / $279.57 / $468.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.44 / $119.53 / $206.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.66 / $314.36 / $622.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.25 / $154.63 / $284.70