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Arizona rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $151 · 10th–90th $54$3550%10%20%10th90th$151Professionalmedian $117 · 10th–90th $40$3890%5%10th90th$117$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$53.70 / $151.36 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $61.66 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $151.36 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $95.50 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $31.62 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$67.61 / $67.61 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $186.21 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $50.12 / $81.28
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $134.90 / $213.80
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $46.77 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $204.17 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $54.95 / $100.00
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $144.54 / $288.40
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $234.42 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $53.70 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $186.21 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $194.98 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $48.98 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $138.04 / $263.03