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New Jersey rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.70 / $119.21 / $518.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.69 / $425.00 / $661.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.50 / $126.00 / $176.40
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$138.18 / $212.50 / $284.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.40 / $299.00 / $462.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.76 / $203.79 / $276.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.91 / $67.20 / $173.49
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.58 / $132.58 / $132.58
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.07 / $533.07 / $533.07
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.54 / $58.54 / $58.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.35 / $554.49 / $964.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.16 / $106.66 / $178.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$168.86 / $406.88 / $827.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.10 / $425.97 / $1,504.78
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.63 / $110.71 / $1,414.50
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.67 / $271.36 / $1,414.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.14 / $302.52 / $584.15
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.15 / $83.70 / $133.13
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.01 / $218.83 / $349.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.79 / $453.66 / $737.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.42 / $92.50 / $166.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.83 / $277.58 / $555.03