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Hawaii rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $46 · 10th–90th $41$540%20%40%10th90th$46Professionalmedian $138 · 10th–90th $43$4170%5%10th90th$138$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $45.71 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $218.78 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $60.26 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $138.04 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $208.93 / $295.12
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $58.88 / $79.43
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $162.18 / $229.09
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $316.23 / $346.74
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $72.44 / $75.86
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $239.88 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $169.82 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $48.98 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $120.23 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $354.81 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $85.11 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $165.96 / $724.44
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $501.19
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $66.07 / $109.65
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $218.78 / $398.11