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New Jersey rates for HCPCS 71552

Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $416.87 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $165.96 / $426.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $436.52 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $83.18 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $831.76 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $138.04 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $676.08 / $1,258.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $660.69 / $2,454.71
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $141.25 / $2,454.71
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$426.58 / $512.86 / $2,454.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $501.19 / $1,000.00
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $107.15 / $181.97
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $398.11 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $741.31 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $114.82 / $218.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $575.44 / $1,096.48