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New Mexico rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $66 · 10th–90th $56$720%20%10th90th$66Professionalmedian $112 · 10th–90th $41$2820%5%10th90th$112$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
$56.23 / $66.07 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $199.53 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $54.95 / $173.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $123.03 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $89.13 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $295.12 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $69.18 / $104.71
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $223.87 / $331.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $151.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $288.40 / $407.38
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $69.18 / $95.50
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $223.87 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $234.42 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $48.98 / $107.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $173.78 / $309.03