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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
$40.79 / $52.97 / $106.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.87 / $226.80 / $278.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.39 / $49.17 / $88.94
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.63 / $69.00 / $85.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.19 / $155.59 / $201.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.22 / $241.43 / $318.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.29 / $57.33 / $76.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.25 / $169.01 / $254.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.59 / $129.59 / $239.54
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.47 / $51.02 / $417.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $183.91 / $345.32
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.01 / $48.70 / $96.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.18 / $185.13 / $273.22