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New Jersey rates for HCPCS 72198

Mra Pelvis W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.20 / $119.21 / $518.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.09 / $441.08 / $703.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.52 / $126.00 / $176.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.35 / $317.00 / $488.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.00 / $59.00 / $59.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.77 / $566.64 / $965.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.19 / $105.31 / $177.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$220.17 / $467.57 / $811.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.30 / $535.04 / $1,375.11
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.69 / $111.46 / $1,687.95
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.00 / $367.98 / $1,687.95
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.61 / $379.54 / $652.20
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.80 / $83.29 / $124.91
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.81 / $296.25 / $522.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.49 / $467.45 / $744.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.42 / $95.74 / $172.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.83 / $340.52 / $592.25