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New Jersey rates for HCPCS 72255

Myelography Thoracic Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.56 / $122.56 / $524.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.97 / $118.86 / $152.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.41 / $201.58 / $347.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $158.53 / $289.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.49 / $146.44 / $250.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.08 / $1,849.94 / $1,920.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.01 / $109.95 / $191.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.23 / $1,021.23 / $1,021.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $143.56 / $226.22