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Alaska rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $224 · 10th–90th $129$4270%10%20%10th90th$224Professionalmedian $138 · 10th–90th $42$3890%5%10th90th$138$10.0$50.0$200.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $223.87 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $562.34
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $56.23 / $165.96
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$194.98 / $194.98 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $120.23 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $398.11 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $89.13 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $269.15 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $223.87 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $354.81 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $117.49 / $295.12
Moda Health
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$194.98 / $194.98 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $239.88 / $537.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $537.03 / $870.96
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$151.36 / $162.18 / $275.42
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $371.54 / $602.56
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $457.09
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $79.43 / $173.78
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $257.04 / $489.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $380.19 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $120.23 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $281.84 / $1,000.00