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Rhode Island rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$275.42 / $275.42 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $275.42 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $54.95 / $194.98
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $169.82 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $346.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.74 / $51.29 / $104.71
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.20 / $112.20 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $269.15 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $79.43 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $190.55 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $302.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $51.29 / $83.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $144.54 / $218.78