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New Jersey rates for HCPCS A9526

Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.40 / $739.40 / $1,074.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.90 / $722.00 / $739.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.18 / $739.40 / $869.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.40 / $739.40 / $739.40
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.83 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.57 / $119.50 / $119.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.80 / $85.80 / $517.25