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Washington, DC rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $102 · 10th–90th $36$2570%10%20%10th90th$102Professionalmedian $98 · 10th–90th $39$3090%5%10th90th$98$10.0$20.0$50.0$100.0$200.0$500.0$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
$36.31 / $102.33 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $66.07 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $151.36 / $316.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $165.96 / $1,047.13
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $52.48 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $131.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $263.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$34.67 / $61.66 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $190.55 / $426.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $43.65 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $104.71 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $102.33 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $95.50 / $630.96