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New Jersey rates for HCPCS 71552

Mri Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.20 / $119.21 / $518.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $1,158.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.38 / $126.00 / $181.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $335.00 / $676.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.47 / $352.94 / $416.61
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.89 / $88.37 / $217.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.04 / $74.04 / $74.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.29 / $913.25 / $1,633.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.02 / $135.00 / $224.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.50 / $744.18 / $1,390.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $740.34 / $2,368.09
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.14 / $141.04 / $2,432.89
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$434.69 / $522.94 / $2,432.89
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.97 / $481.14 / $848.90
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.48 / $105.27 / $157.88
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.49 / $375.87 / $643.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.70 / $752.86 / $1,321.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.08 / $117.32 / $202.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.45 / $510.52 / $920.60