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Alaska rates for HCPCS 70450

Computed tomography, head or brain; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.85 / $179.52 / $280.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.59 / $219.49 / $538.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.46 / $52.81 / $179.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$142.12 / $176.95 / $291.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.07 / $388.11 / $700.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.83 / $137.69 / $210.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.24 / $250.35 / $490.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.81 / $315.39 / $806.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.05 / $118.91 / $292.27
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.77 / $198.93 / $402.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.25 / $440.10 / $726.38
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.00 / $162.00 / $270.44
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$256.25 / $287.00 / $465.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.02 / $407.50 / $700.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.88 / $181.50 / $270.44
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.80 / $315.55 / $473.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.68 / $425.58 / $678.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.12 / $179.13 / $596.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.30 / $247.86 / $392.68