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South Carolina rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $83 · 10th–90th $52$1050%20%40%10th90th$83Professionalmedian $123 · 10th–90th $40$4070%5%10%10th90th$123$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
$52.48 / $83.18 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$37.15 / $74.13 / $389.05
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$457.09 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $177.83 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $38.02 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$40.74 / $69.18 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $257.04 / $426.58
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $91.20 / $141.25
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $165.96 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $245.47 / $436.52
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $64.57 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $173.78 / $309.03
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$41.69 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $158.49 / $316.23