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Delaware rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.74 / $45.71 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $229.09 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $52.48 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $112.20 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $346.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $57.54 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $154.88 / $257.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $40.74 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $194.98 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $51.29 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $151.36 / $309.03