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New Jersey rates for HCPCS 73720

Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.89 / $416.87 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $478.63 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $169.82 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $346.74 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $97.72 / $169.82
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $288.40 / $302.00
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $177.83 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $660.69 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $131.83 / $213.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $524.81 / $1,148.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $645.65
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $134.90 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $338.84 / $467.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $851.14
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.10 / $102.33 / $173.78
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $295.12 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $524.81 / $1,096.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $109.65 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $371.54 / $891.25