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Maine rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $49 · 10th–90th $47$2950%50%10th90th$49Professionalmedian $112 · 10th–90th $40$3020%10%10th90th$112$10.0$50.0$200.0$1.0K$5.0K

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
$46.77 / $50.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $229.09 / $478.63
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $52.48 / $114.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $120.23 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $186.21 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $58.88 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $128.82 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $263.03 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $66.07 / $120.23
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $204.17 / $380.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $60.26 / $112.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $134.90 / $251.19
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$46.77 / $48.98 / $5,623.41
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $218.78 / $426.58
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $57.54 / $102.33
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $147.91 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $190.55 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $69.18 / $158.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $131.83 / $275.42