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Connecticut rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $162 · 10th–90th $69$1950%20%10th90th$162Professionalmedian $112 · 10th–90th $40$4170%5%10th90th$112$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
$69.18 / $162.18 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $275.42 / $870.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $58.88 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $147.91 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $323.59 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $91.20 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $218.78 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $72.44 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $234.42 / $354.81
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $302.00 / $389.05
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $60.26 / $83.18
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $151.36 / $269.15
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $83.18 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $190.55 / $512.86
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $53.70 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $131.83 / $346.74