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Georgia rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $69.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $275.42 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $69.18 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $177.83 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $42.66 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $75.86 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $67.61 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $181.97 / $309.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $95.50 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $281.84 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $70.79 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $194.98 / $371.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $54.95 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$114.82 / $114.82 / $162.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $117.49 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $117.49 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $223.87 / $407.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $60.26 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $154.88 / $302.00