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New Jersey rates for HCPCS 73201

Ct Upper Extremity W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.00 / $65.79 / $238.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.77 / $259.41 / $458.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.00 / $56.43 / $103.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.27 / $193.59 / $328.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.96 / $48.00 / $101.15
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $167.05 / $167.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.97 / $37.97 / $37.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.79 / $312.36 / $551.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.95 / $68.84 / $115.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.90 / $244.00 / $428.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.19 / $314.86 / $741.04
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.40 / $71.89 / $662.80
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.24 / $210.76 / $662.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.67 / $218.44 / $385.54
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.15 / $54.29 / $80.95
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.53 / $164.15 / $289.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.80 / $270.77 / $442.95
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.47 / $64.11 / $103.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.89 / $201.52 / $333.86