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Maryland rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $43 · 10th–90th $35$480%20%40%10th90th$43Professionalmedian $112 · 10th–90th $40$3310%5%10th90th$112$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
$34.67 / $42.66 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $67.61 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $169.82 / $316.23
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $165.96 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $52.48 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $131.83 / $165.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $223.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $52.48 / $97.72
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $158.49 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $154.88 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $45.71 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $109.65 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $50.12 / $89.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $128.82 / $288.40
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $147.91 / $213.80
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $43.65 / $61.66
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $104.71 / $151.36