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New York rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $50 · 10th–90th $44$950%20%40%10th90th$50Professionalmedian $115 · 10th–90th $41$3390%5%10%10th90th$115$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
$43.65 / $50.12 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $257.04 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $60.26 / $190.55
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $151.36 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$22.91 / $36.31 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $162.18 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $46.77 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $112.20 / $295.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $134.90 / $194.98
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $46.77 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.11 / $66.07 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $190.55 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $177.83 / $275.42
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $56.23 / $177.83
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $128.82 / $194.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $213.80 / $323.59
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $58.88 / $102.33
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $154.88 / $223.87
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $35.48 / $37.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $154.88 / $316.23
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $48.98 / $85.11
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $190.55 / $346.74
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $58.88 / $107.15
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $131.83 / $239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $194.98 / $851.14
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $57.54 / $338.84
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $138.04 / $630.96
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$33.11 / $46.77 / $181.97
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $354.81
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$35.48 / $58.88 / $109.65
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$74.13 / $147.91 / $245.47