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New Jersey rates for HCPCS 77049

Mri Breast Without&With Contrast W/Cad Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.20 / $146.04 / $518.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.77 / $425.00 / $1,032.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.43 / $126.00 / $176.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.95 / $282.87 / $422.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.18 / $225.57 / $384.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.40 / $96.15 / $180.60
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.14 / $462.83 / $1,057.28
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.96 / $287.30 / $575.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.64 / $484.48 / $820.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.73 / $137.05 / $229.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.31 / $339.77 / $597.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.68 / $502.44 / $920.76
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.38 / $143.69 / $660.81
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.55 / $338.65 / $459.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.16 / $389.60 / $619.65
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.69 / $107.87 / $165.87
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.48 / $281.74 / $425.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.02 / $565.38 / $981.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.95 / $117.36 / $207.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.26 / $389.58 / $840.99