go back

Arkansas rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.10 / $64.50 / $88.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $253.19 / $514.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.98 / $62.11 / $138.75
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$82.50 / $94.59 / $162.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.82 / $177.61 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.22 / $201.22 / $219.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.12 / $65.41 / $74.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.73 / $134.50 / $134.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.30 / $176.43 / $196.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.98 / $58.21 / $64.68
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.32 / $118.22 / $131.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $87.77 / $147.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $264.00 / $375.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.49 / $66.76 / $97.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.21 / $172.09 / $274.39
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.40 / $248.01 / $252.69
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.01 / $76.50 / $85.68
Qualchoice
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.99 / $154.68 / $154.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.15 / $232.21 / $285.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.51 / $57.27 / $85.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.78 / $154.63 / $231.33