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New Jersey rates for HCPCS 72194

Ct Pelvis W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.28 / $49.29 / $247.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.49 / $288.20 / $600.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.29 / $58.30 / $87.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.22 / $225.34 / $372.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.56 / $178.25 / $178.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.26 / $42.77 / $54.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.86 / $39.86 / $39.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.70 / $396.74 / $707.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.12 / $72.20 / $121.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.12 / $320.26 / $602.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.52 / $373.89 / $969.09
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.37 / $75.43 / $900.24
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.56 / $260.51 / $900.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.12 / $236.61 / $478.82
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.65 / $57.24 / $79.98
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.47 / $179.38 / $294.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.12 / $340.06 / $534.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.60 / $66.88 / $109.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.77 / $259.20 / $433.43