go back

New Jersey rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.61 / $173.61 / $954.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.50 / $201.04 / $257.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.82 / $704.33 / $945.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.88 / $238.85 / $440.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.29 / $294.29 / $294.29
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.41 / $976.93 / $2,118.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.72 / $218.49 / $284.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.83 / $615.98 / $942.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.69 / $248.64 / $439.77