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New Jersey rates for HCPCS 72192

Ct Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.43 / $53.64 / $220.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.27 / $215.51 / $413.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.44 / $53.64 / $116.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.94 / $135.35 / $240.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.81 / $92.80 / $101.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.04 / $45.08 / $105.47
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.33 / $179.35 / $600.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.84 / $35.84 / $35.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.73 / $251.31 / $473.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.61 / $64.68 / $108.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.80 / $161.83 / $337.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.40 / $208.27 / $651.32
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.69 / $67.45 / $654.91
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.23 / $119.36 / $654.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.98 / $125.29 / $254.15
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.32 / $50.96 / $76.42
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.92 / $95.20 / $243.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.70 / $201.74 / $328.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.79 / $61.14 / $97.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.09 / $124.46 / $229.74