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Minnesota rates for HCPCS 70486

Ct Maxillofacial W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.50 / $41.50 / $70.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.27 / $253.19 / $1,110.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.11 / $55.00 / $156.60
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$57.89 / $78.42 / $137.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.82 / $177.61 / $229.03
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.97 / $33.97 / $33.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.11 / $381.08 / $462.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.47 / $116.06 / $140.77
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.86 / $265.02 / $321.43
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.31 / $140.94 / $339.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.96 / $263.61 / $520.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.14 / $76.70 / $133.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.56 / $184.65 / $406.52
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.26 / $124.27 / $266.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.96 / $258.27 / $508.26
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.39 / $75.48 / $121.92
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.56 / $180.26 / $364.51
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$379.28 / $379.28 / $379.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.35 / $339.31 / $1,413.47
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.84 / $94.14 / $333.52
Medica
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$227.32 / $231.60 / $235.87
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.18 / $194.40 / $1,220.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $254.49 / $470.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.03 / $75.70 / $134.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.44 / $177.43 / $329.06