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Illinois rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.89 / $64.89 / $79.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $226.80 / $606.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.45 / $57.18 / $213.36
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$64.14 / $75.62 / $126.60
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.73 / $153.66 / $291.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.02 / $113.50 / $153.08
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.44 / $34.75 / $55.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.11 / $108.11 / $108.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $151.03 / $275.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.63 / $69.63 / $69.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.76 / $203.15 / $386.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.18 / $61.33 / $92.08
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.46 / $140.00 / $274.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.19 / $234.40 / $1,015.09
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.07 / $76.65 / $373.21
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.27 / $149.19 / $641.53
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.69 / $157.16 / $169.29
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.18 / $50.34 / $53.16
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.36 / $107.99 / $116.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $55.61 / $177.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.53 / $225.52 / $352.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.03 / $58.57 / $90.37
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.47 / $159.02 / $272.43