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New Jersey rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.10 / $133.10 / $133.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.31 / $13.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $120.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $99.00 / $99.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $63.21 / $63.21