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Virginia 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
$47.85 / $85.17 / $186.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $269.44 / $494.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.85 / $69.08 / $125.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.07 / $198.97 / $368.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.87 / $218.51 / $361.26
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.86 / $62.49 / $95.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.00 / $156.33 / $259.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.56 / $280.07 / $892.33
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.93 / $71.92 / $91.34
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.01 / $207.38 / $290.33
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
$157.60 / $343.69 / $562.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.43 / $79.42 / $141.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.01 / $264.31 / $435.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.69 / $210.82 / $258.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.88 / $59.15 / $71.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.81 / $153.37 / $187.95
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.79 / $114.00 / $198.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $302.00 / $540.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.22 / $316.16 / $594.29
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.70 / $84.18 / $125.19
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.44 / $266.68 / $389.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.88 / $292.68 / $483.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.52 / $68.92 / $111.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.59 / $220.88 / $404.41