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New Jersey rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $354.81 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $204.17 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $158.49 / $363.08
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $316.23 / $10,471.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $190.55 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $131.83 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49