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Florida rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $223.87 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $57.54 / $186.21
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $134.90 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $41.69 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $69.18 / $158.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $46.77 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $190.55 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.84 / $57.54 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $134.90 / $288.40
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $45.71 / $45.71
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $154.88 / $245.47
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $47.86 / $66.07
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $104.71 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $63.10 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $295.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $43.65 / $77.62
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $117.49 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $30.90 / $39.81
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.61 / $67.61 / $85.11