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Missouri rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $65 · 10th–90th $44$1910%10%20%10th90th$65Professionalmedian $102 · 10th–90th $40$3310%5%10th90th$102$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
$43.65 / $64.57 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $251.19 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $61.66 / $190.55
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$46.77 / $47.86 / $85.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $144.54 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $95.50 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $39.81 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$64.57 / $64.57 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $158.49 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $53.70 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $109.65 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $141.25 / $245.47
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $44.67 / $74.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $95.50 / $173.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $46.77 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $223.87 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $158.49 / $323.59
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $251.19 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $64.57 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $186.21 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $181.97 / $338.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $56.23 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $123.03 / $251.19