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California rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.17 / $61.21 / $248.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.66 / $266.81 / $897.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.93 / $62.08 / $209.44
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$64.55 / $108.06 / $402.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.73 / $202.05 / $534.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.08 / $133.18 / $285.01
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.98 / $43.47 / $91.08
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.96 / $167.56 / $167.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.97 / $309.13 / $507.92
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.84 / $71.91 / $132.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.21 / $237.31 / $382.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.63 / $177.27 / $431.71
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.95 / $52.29 / $122.71
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.42 / $126.24 / $302.95
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
$119.12 / $238.13 / $434.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.21 / $58.58 / $115.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.27 / $180.23 / $335.43
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.35 / $168.33 / $227.25
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.77 / $45.18 / $60.99
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.58 / $123.16 / $166.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.07 / $173.71 / $282.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.92 / $54.22 / $94.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.93 / $142.40 / $230.90
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$371.60 / $371.60 / $379.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.07 / $1,413.47 / $1,413.47
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$333.52 / $333.52 / $333.52
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,220.00 / $1,220.00 / $1,220.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $101.71
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.27 / $46.27 / $46.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.17 / $260.25 / $406.89
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.21 / $58.44 / $113.86
Providence
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$151.72 / $151.72 / $153.33
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.27 / $180.86 / $321.52
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.64 / $463.64 / $463.64
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.62 / $139.62 / $139.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$324.02 / $324.02 / $324.02
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.13 / $187.19 / $508.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $193.31 / $397.84
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.43 / $49.33 / $108.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.82 / $149.33 / $301.24