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Indiana rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $52 · 10th–90th $42$720%10%20%10th90th$52Professionalmedian $110 · 10th–90th $40$3160%5%10th90th$110$10.0$50.0$200.0$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
$41.69 / $52.48 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $61.66 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $134.90 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $45.71 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $123.03 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $85.11 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $169.82 / $275.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $100.00 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $251.19 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $63.10 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $177.83 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $53.70 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $275.42