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Virginia 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
$54.45 / $96.92 / $172.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.47 / $176.32 / $364.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.45 / $65.12 / $118.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.16 / $117.06 / $220.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.28 / $192.18 / $317.73
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.62 / $69.44 / $107.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.65 / $121.04 / $200.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.84 / $268.57 / $763.47
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.15 / $74.54 / $93.43
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.63 / $201.42 / $255.80
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
$141.33 / $297.00 / $496.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.51 / $80.34 / $143.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.97 / $215.02 / $359.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.82 / $185.04 / $228.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.53 / $67.36 / $81.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.29 / $119.15 / $146.01
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.32 / $106.00 / $187.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.32 / $247.00 / $466.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.81 / $251.62 / $451.20
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.02 / $85.45 / $135.29
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.46 / $206.67 / $290.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.49 / $265.73 / $430.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.71 / $73.68 / $113.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.19 / $183.94 / $323.92