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Maryland rates for HCPCS 70480

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.52 / $71.06 / $104.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.47 / $259.58 / $750.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.45 / $73.02 / $189.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.97 / $177.61 / $548.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.84 / $268.57 / $488.04
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.15 / $69.84 / $118.43
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.63 / $201.42 / $294.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.15 / $272.73 / $488.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.31 / $71.16 / $141.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.29 / $202.68 / $361.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.96 / $215.38 / $361.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.30 / $73.22 / $107.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.80 / $136.47 / $233.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.13 / $240.72 / $433.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.04 / $65.40 / $106.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.58 / $168.79 / $377.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.57 / $180.96 / $235.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.93 / $64.15 / $83.40
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.64 / $116.81 / $149.33