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New Jersey rates for HCPCS 72125

Computed tomography, cervical spine; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.77 / $69.18 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $239.88 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $52.48 / $162.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.18 / $141.25 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $44.67 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.67 / $75.86 / $104.71
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $85.11 / $245.47
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $263.03 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $64.57 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $186.21 / $331.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.95 / $63.10 / $660.69
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $123.03 / $660.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $316.23
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $47.86 / $83.18
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $109.65 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $363.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $56.23 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $144.54 / $263.03