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New Jersey rates for HCPCS 72110

Radiologic examination, spine, lumbosacral; minimum of 4 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $16.98 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $72.44 / $177.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $20.42 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.90 / $45.71 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $44.67 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $12.02 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $35.48 / $48.98
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $50.12 / $109.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $109.65
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $17.78 / $28.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $43.65 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.79 / $17.38 / $120.23
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $58.88 / $120.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $48.98 / $97.72
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $12.59 / $33.11
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $37.15 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $93.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.12 / $14.45 / $26.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $38.90 / $69.18