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North Carolina rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $62 · 10th–90th $41$1260%20%10th90th$62Professionalmedian $129 · 10th–90th $41$3980%5%10th90th$129$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
$40.74 / $61.66 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $70.79 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $173.78 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $131.83 / $323.59
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $74.13 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $123.03 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $123.03 / $147.91
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $331.13 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $281.84 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $75.86 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $194.98 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $117.49 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $234.42 / $416.87
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $63.10 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $173.78 / $288.40
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$257.04 / $257.04 / $257.04
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,513.56 / $1,513.56
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27