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Arizona rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.14 / $78.54 / $188.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.63 / $253.19 / $730.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.79 / $54.79 / $175.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$64.55 / $79.23 / $137.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.43 / $184.55 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.62 / $113.61 / $172.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.79 / $54.17 / $73.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $147.56 / $184.45
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.36 / $40.40 / $50.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.76 / $107.15 / $133.94
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.27 / $46.27 / $46.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.28 / $233.42 / $388.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.90 / $59.38 / $97.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.09 / $170.83 / $284.05
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$379.28 / $379.28 / $379.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $233.20 / $1,413.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.43 / $49.36 / $333.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.82 / $187.14 / $1,220.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $209.42 / $311.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.13 / $46.86 / $88.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.78 / $141.60 / $218.12