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New Jersey rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.54 / $93.16 / $355.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.51 / $215.12 / $481.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.55 / $86.40 / $244.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.08 / $125.67 / $215.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.97 / $149.07 / $185.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.51 / $72.17 / $135.66
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.59 / $92.59 / $92.59
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.16 / $296.00 / $717.36
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.44 / $170.17 / $256.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $254.64 / $458.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.72 / $104.10 / $174.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.95 / $153.69 / $272.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.84 / $279.08 / $483.08
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.39 / $108.05 / $147.41
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.68 / $148.69 / $201.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.87 / $193.96 / $306.75
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.45 / $81.70 / $129.94
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.42 / $112.26 / $178.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.66 / $229.67 / $392.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.42 / $98.06 / $164.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.15 / $136.85 / $230.88