go back

New Jersey rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,884.03 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,412.54 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $2,041.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,412.54 / $1,513.56
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $2,290.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $549.54 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,778.28