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Missouri 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
$61.64 / $82.93 / $121.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.52 / $280.30 / $838.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $66.26 / $249.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.72 / $220.00 / $628.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.63 / $151.63 / $151.63
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.54 / $55.62 / $79.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.68 / $304.68 / $658.12
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.45 / $84.50 / $143.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.22 / $220.72 / $530.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.34 / $61.34 / $61.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.88 / $320.05 / $596.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.68 / $81.17 / $141.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.59 / $240.26 / $472.05
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$388.00 / $502.08 / $502.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.67 / $364.46 / $1,940.92
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.74 / $85.17 / $556.79
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.17 / $290.77 / $1,561.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.47 / $301.33 / $502.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.74 / $74.26 / $130.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.28 / $236.96 / $371.81