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New Jersey rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $66 · 10th–90th $46$3090%20%10th90th$66Professionalmedian $105 · 10th–90th $40$3090%10%10th90th$105$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$45.71 / $66.07 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $53.70 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $134.90 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $109.65 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $38.02 / $75.86
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $616.60 / $616.60
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $47.86 / $371.54
AmeriHealth
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $123.03 / $229.09
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $245.47 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $60.26 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $173.78 / $323.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $181.97 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $53.70 / $64.57
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $131.83 / $549.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $141.25 / $295.12
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $41.69 / $87.10
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $100.00 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $186.21 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$32.36 / $51.29 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $131.83 / $257.04