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Idaho rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $95 · 10th–90th $52$1120%20%10th90th$95Professionalmedian $120 · 10th–90th $40$3240%5%10th90th$120$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$52.48 / $91.20 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $61.66 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $173.78 / $316.23
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $239.88 / $331.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $75.86 / $107.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $162.18 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $371.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $50.12 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $114.82 / $275.42
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $676.08
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $380.19 / $380.19
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $302.00 / $302.00
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$58.88 / $104.71 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $489.78
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $79.43 / $120.23
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $177.83 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $85.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $323.59
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $81.28 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $186.21 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $123.03 / $457.09
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $38.02 / $91.20
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $91.20 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $213.80 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $51.29 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $154.88 / $295.12