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Kentucky rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.90 / $54.95 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $251.19 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.90 / $61.66 / $194.98
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $151.36 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $104.71 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $41.69 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $95.50 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $186.21 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $63.10 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $125.89 / $331.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $87.10 / $154.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.00 / $46.77 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $338.84 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $81.28 / $269.15
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $229.09 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $218.78 / $302.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $54.95 / $81.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $162.18 / $229.09