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New Jersey rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.13 / $37.13 / $100.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $134.79 / $331.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.73 / $37.47 / $62.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.67 / $94.39 / $151.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.66 / $99.26 / $126.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.49 / $34.18 / $47.27
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.45 / $22.45 / $22.45
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.77 / $137.76 / $309.88
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.06 / $66.70 / $102.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.42 / $170.97 / $275.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.20 / $48.29 / $78.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.89 / $121.28 / $201.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.76 / $174.78 / $237.90
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.03 / $50.26 / $86.59
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.61 / $124.51 / $169.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.28 / $123.86 / $194.67
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.73 / $37.01 / $124.52
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.56 / $92.19 / $161.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.70 / $153.28 / $251.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.10 / $46.05 / $72.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.29 / $107.21 / $179.66