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Missouri 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
$70.11 / $77.03 / $128.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.58 / $259.57 / $983.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.53 / $81.90 / $286.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.68 / $177.61 / $558.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.55 / $120.55 / $267.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.08 / $67.62 / $95.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.65 / $208.63 / $464.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.25 / $81.02 / $133.06
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.40 / $128.38 / $335.21
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.79 / $69.79 / $69.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.60 / $272.73 / $512.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.06 / $86.90 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.15 / $196.87 / $398.57
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$441.84 / $571.36 / $571.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.45 / $314.44 / $1,670.68
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.81 / $87.97 / $520.49
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.94 / $244.65 / $1,318.41
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.39 / $110.39 / $110.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.34 / $261.64 / $523.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.07 / $76.18 / $142.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.04 / $186.61 / $296.79