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North Dakota rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $41 · 10th–90th $30$690%20%10th90th$41Professionalmedian $107 · 10th–90th $38$2820%5%10%10th90th$107$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
$30.20 / $40.74 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $194.98 / $512.86
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $60.26 / $147.91
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $141.25 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $302.00 / $331.13
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $93.33 / $104.71
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $208.93 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $66.07 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $173.78 / $288.40
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $257.04 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $331.13
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $186.21 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $363.08
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $74.13 / $109.65
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $154.88 / $257.04