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New Jersey rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.13 / $54.44 / $232.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $217.37 / $564.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.68 / $51.30 / $136.61
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$60.70 / $85.50 / $143.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.29 / $146.72 / $251.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.24 / $102.64 / $131.07
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.42 / $35.61 / $70.09
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.96 / $116.96 / $116.96
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $155.13 / $883.50
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.69 / $81.51 / $594.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.25 / $37.25 / $37.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.88 / $240.77 / $438.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.28 / $58.00 / $102.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.40 / $172.23 / $335.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.94 / $201.50 / $631.44
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.66 / $53.40 / $552.52
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$105.92 / $127.41 / $552.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.82 / $136.26 / $307.60
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.29 / $40.35 / $77.09
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.52 / $95.91 / $169.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.60 / $194.41 / $316.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.28 / $49.90 / $84.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.22 / $132.29 / $236.94