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Ohio rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $54 · 10th–90th $41$790%20%40%10th90th$54Professionalmedian $115 · 10th–90th $40$3160%5%10%10th90th$115$0.5$2.0$10.0$50.0$200.0$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
$40.74 / $53.70 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $208.93 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $60.26 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $141.25 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $102.33 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.90 / $50.12 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$63.10 / $67.61 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $72.44 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $218.78 / $338.84
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $154.88 / $239.88
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $50.12 / $77.62
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $104.71 / $162.18
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $100.00 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $213.80 / $407.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $61.66 / $107.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $147.91 / $302.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$10.00 / $46.77 / $66.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $389.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$36.31 / $63.10 / $125.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$79.43 / $144.54 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $83.18
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $123.03 / $234.42
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $50.12 / $85.11
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$42.66 / $64.57 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $169.82 / $331.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $51.29 / $102.33
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$81.28 / $112.20 / $234.42