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Georgia rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $55.00 / $181.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $275.00 / $673.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.08 / $69.90 / $175.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$69.78 / $137.50 / $248.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $220.00 / $372.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.76 / $131.07 / $213.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.13 / $49.52 / $75.01
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.62 / $153.62 / $153.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $231.38 / $430.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.27 / $61.23 / $120.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.70 / $149.44 / $309.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.44 / $95.40 / $174.26
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.27 / $46.27 / $46.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.30 / $294.31 / $503.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.98 / $76.56 / $129.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.08 / $202.68 / $392.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.68 / $252.14 / $734.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.20 / $78.54 / $159.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$115.45 / $115.45 / $162.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.47 / $173.58 / $642.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.72 / $127.81 / $226.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $243.97 / $494.18
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.52 / $62.78 / $107.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $165.33 / $313.35