go back

New Jersey rates for HCPCS 72146

Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.33 / $181.97 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $426.58 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $125.89 / $323.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $257.04 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $173.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $66.07 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $141.25 / $199.53
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $239.88 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $398.11 / $794.33
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $93.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $281.84 / $645.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $93.33 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $177.83 / $1,288.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $467.74
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $70.79 / $123.03
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $147.91 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $295.12 / $588.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $190.55 / $478.63