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New Jersey rates for HCPCS 71260

Computed tomography, thorax, diagnostic; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.12 / $74.13 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $275.42 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $60.26 / $208.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $177.83 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $134.90 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $51.29 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $95.50 / $131.83
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $144.54 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $323.59 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $74.13 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $234.42 / $407.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.10 / $72.44 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $162.18 / $776.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $398.11
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $60.26 / $97.72
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $138.04 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $263.03 / $446.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $177.83 / $316.23