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New Hampshire rates for HCPCS 70481

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

Facilitymedian $123 · 10th–90th $63$2510%20%10th90th$123Professionalmedian $195 · 10th–90th $63$4070%5%10th90th$195$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$63.10 / $123.03 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $75.86 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $213.80 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $120.23 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $302.00 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $426.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $107.15 / $181.97
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $302.00 / $707.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $323.59 / $501.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $93.33 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $234.42 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $346.74 / $691.83
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $87.10 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $245.47 / $489.78
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$39.81 / $43.65 / $53.70