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Colorado rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.45 / $52.59 / $80.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.10 / $218.44 / $278.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.11 / $54.21 / $143.99
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.70 / $73.48 / $108.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.60 / $169.13 / $221.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.96 / $222.56 / $490.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.56 / $59.72 / $92.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.91 / $146.94 / $328.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.56 / $81.56 / $81.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.90 / $227.93 / $432.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.11 / $58.08 / $106.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.25 / $167.41 / $330.03
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.78 / $242.78 / $258.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.60 / $215.60 / $490.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.58 / $65.47 / $149.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.02 / $151.06 / $354.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.48 / $240.50 / $457.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.06 / $73.97 / $110.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.44 / $173.44 / $296.32