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Maryland rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.88 / $47.52 / $69.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $253.86 / $789.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.20 / $55.04 / $175.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$58.80 / $64.14 / $349.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.39 / $175.15 / $332.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.86 / $196.52 / $255.48
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.51 / $59.75 / $78.52
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.08 / $136.77 / $177.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.36 / $225.00 / $424.63
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.63 / $56.51 / $106.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.53 / $158.33 / $290.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.77 / $173.85 / $296.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.34 / $52.76 / $84.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.87 / $121.09 / $231.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.46 / $169.76 / $356.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.51 / $46.47 / $76.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.97 / $121.22 / $269.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.82 / $146.62 / $190.61
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.72 / $42.91 / $55.78
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.09 / $103.71 / $132.59