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Alaska rates for HCPCS 70481

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$167.87 / $298.56 / $438.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.37 / $409.21 / $721.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.50 / $69.47 / $238.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.87 / $339.73 / $482.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $670.95 / $858.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.45 / $183.06 / $247.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.54 / $486.76 / $646.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.27 / $532.74 / $1,160.67
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.58 / $157.77 / $389.51
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.51 / $378.45 / $771.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.25 / $970.00 / $1,405.82
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$198.75 / $246.25 / $383.51
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$487.50 / $713.70 / $1,048.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.02 / $784.00 / $1,405.82
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.05 / $247.50 / $394.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$496.25 / $703.50 / $1,166.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.88 / $805.14 / $1,464.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.88 / $237.93 / $429.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.40 / $567.21 / $1,035.52