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New Jersey rates for HCPCS 72133

Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $288.40 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $275.42 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $64.57 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $199.53 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $54.95 / $109.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $380.19 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $288.40 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $380.19
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.18 / $79.43 / $109.65
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $199.53 / $269.15
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $501.19
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $60.26 / $104.71
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $173.78 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $309.03 / $537.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $67.61 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $229.09 / $416.87