go back

New Hampshire rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $78 · 10th–90th $51$2090%20%10th90th$78Professionalmedian $126 · 10th–90th $43$3240%5%10th90th$126$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
$51.29 / $77.62 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $218.78 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $53.70 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $141.25 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$31.62 / $50.12 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $309.03 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $91.20 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $204.17 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $309.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $81.28 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $218.78 / $467.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $234.42 / $354.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $70.79 / $104.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $158.49 / $234.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $245.47 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $66.07 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $165.96 / $302.00
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$30.20 / $33.11 / $38.90