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New York rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.21 / $49.65 / $94.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.18 / $226.80 / $572.79
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.14 / $52.15 / $125.03
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$61.94 / $80.43 / $157.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.92 / $146.72 / $259.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.76 / $97.31 / $133.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.78 / $36.31 / $54.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.22 / $167.61 / $534.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.02 / $48.40 / $119.10
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.19 / $115.63 / $349.13
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.80 / $135.02 / $193.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.27 / $46.27 / $46.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.57 / $282.68 / $658.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.48 / $65.89 / $138.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.09 / $200.15 / $465.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.94 / $195.90 / $348.63
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.26 / $52.57 / $91.89
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.84 / $124.52 / $217.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.77 / $205.47 / $272.31
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.47 / $58.54 / $84.72
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.51 / $154.66 / $214.20
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.85 / $140.22 / $241.75
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.70 / $33.70 / $33.70
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.37 / $178.47 / $318.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.55 / $48.64 / $86.21
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.54 / $121.54 / $125.18
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.27 / $46.27 / $46.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.78 / $228.18 / $628.65
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.65 / $60.85 / $126.13
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.29 / $146.50 / $384.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.74 / $166.87 / $380.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.82 / $47.70 / $105.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.13 / $118.47 / $307.17
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.26 / $47.26 / $182.81
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.82 / $214.97 / $358.25
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.35 / $62.19 / $111.09
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.81 / $146.86 / $247.16