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Maryland rates for HCPCS 70450

Computed tomography, head or brain; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.67 / $41.69 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $199.53 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $44.67 / $131.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $128.82 / $416.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $134.90 / $173.78
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $52.48 / $58.88
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $89.13 / $295.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $186.21 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $46.77 / $89.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $120.23 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $128.82 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $44.67 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $83.18 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $151.36 / $281.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $43.65 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $97.72 / $213.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $177.83
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $46.77 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $83.18 / $114.82