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Missouri rates for HCPCS 70450

Computed tomography, head or brain; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.84 / $51.70 / $84.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.18 / $178.59 / $650.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.27 / $46.24 / $147.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.04 / $160.87 / $487.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.38 / $81.06 / $95.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.82 / $39.81 / $60.14
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.15 / $112.15 / $112.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.87 / $137.35 / $419.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.06 / $54.87 / $88.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.81 / $84.73 / $302.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.92 / $45.92 / $45.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.39 / $175.16 / $352.79
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.90 / $57.53 / $101.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.23 / $116.16 / $262.64
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$292.88 / $376.16 / $376.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.29 / $217.46 / $1,267.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.87 / $60.88 / $315.37
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.30 / $153.09 / $1,108.00
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.19 / $73.19 / $73.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.70 / $168.70 / $305.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.81 / $51.86 / $93.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.89 / $101.53 / $192.42