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New Jersey rates for HCPCS 75565

Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)

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
$47.95 / $402.08 / $475.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.88 / $111.15 / $140.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $26.88 / $26.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $88.62 / $140.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.41 / $14.74 / $24.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.04 / $70.31 / $196.56
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.17 / $15.44 / $20.99
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $51.75 / $109.77
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.84 / $11.58 / $18.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $72.67 / $117.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.65 / $13.08 / $23.02