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New Jersey rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.68 / $73.68 / $368.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.09 / $370.01 / $618.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.23 / $86.89 / $119.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.53 / $256.00 / $415.82
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.72 / $65.72 / $65.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.48 / $59.48 / $59.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.41 / $474.64 / $896.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.20 / $105.64 / $179.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$184.38 / $360.59 / $716.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.83 / $415.07 / $1,231.20
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.64 / $111.43 / $152.79
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.56 / $260.51 / $353.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.84 / $263.33 / $485.65
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.37 / $83.96 / $118.90
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.47 / $179.38 / $316.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.39 / $397.69 / $638.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.43 / $99.34 / $160.41
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.66 / $294.74 / $511.19