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Iowa rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $61.66 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $288.40 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $69.18 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $190.55 / $645.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.82 / $173.78 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $446.68
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $95.50 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $223.87 / $346.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $223.87 / $812.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $74.13 / $257.04
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.43 / $154.88 / $549.54
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.12 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $275.42 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $70.79 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $177.83 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $107.15 / $138.04
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $251.19 / $407.38
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.83 / $177.83 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $512.86
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $95.50 / $109.65
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $208.93 / $407.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $91.20 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $199.53 / $354.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $57.54 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $134.90 / $239.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $295.12
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $77.62 / $91.20
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $173.78 / $204.17