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Nebraska rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $87 · 10th–90th $52$3630%10%10th90th$87Professionalmedian $117 · 10th–90th $40$3240%5%10th90th$117$10.0$20.0$50.0$100.0$200.0$500.0$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
$51.29 / $87.10 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $288.40 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $77.62 / $186.21
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $169.82 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $245.47 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $74.13 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $239.88 / $257.04
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $75.86 / $81.28
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $162.18 / $199.53
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $93.33 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $208.93 / $316.23
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
$154.88 / $281.84 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $77.62 / $123.03
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $194.98 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $281.84 / $436.52
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $89.13 / $138.04
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $194.98 / $302.00
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $436.52
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$89.13 / $93.33 / $138.04
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $302.00 / $338.84
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $91.20 / $218.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $263.03 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $79.43 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $177.83 / $407.38