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New Jersey rates for HCPCS 76377

3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.25 / $33.25 / $160.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $92.40 / $171.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.25 / $39.02 / $70.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$32.72 / $49.65 / $104.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $54.80 / $72.31
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.35 / $35.18 / $61.99
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $79.17 / $184.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.58 / $27.58 / $27.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $117.05 / $222.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.77 / $47.68 / $79.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.94 / $60.04 / $158.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.32 / $108.99 / $187.84
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.32 / $49.40 / $67.55
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.70 / $59.60 / $81.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $69.28 / $115.92
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.75 / $37.35 / $56.02
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.14 / $31.93 / $56.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.44 / $95.27 / $166.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.43 / $44.67 / $71.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.69 / $47.67 / $105.15