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New Jersey rates for HCPCS 70552

Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $407.38 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $131.83 / $281.84
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $302.00 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $79.43 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $158.49 / $158.49
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $524.81 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $109.65 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $389.05 / $741.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.50 / $112.20 / $1,412.54
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $269.15 / $1,412.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $316.23 / $645.65
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $85.11 / $147.91
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $229.09 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $416.87 / $776.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $91.20 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $288.40 / $588.84