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New Jersey rates for HCPCS 72157

Mri Spinal Canal Thoracic W/O & W/Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.20 / $145.61 / $518.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.89 / $475.00 / $1,051.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.14 / $140.00 / $311.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.58 / $335.00 / $462.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.60 / $243.15 / $245.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.13 / $95.85 / $189.29
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.46 / $585.00 / $1,100.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.05 / $84.05 / $84.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.39 / $660.41 / $1,456.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.13 / $142.04 / $244.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.24 / $513.27 / $1,196.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.13 / $504.39 / $2,155.59
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.02 / $143.28 / $2,539.79
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.36 / $308.33 / $2,539.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.61 / $360.49 / $691.23
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.42 / $107.55 / $161.30
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.00 / $252.94 / $402.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.77 / $453.85 / $970.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.10 / $123.62 / $221.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.64 / $332.91 / $755.92