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Wisconsin rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Facilitymedian $100 · 10th–90th $79$3720%20%10th90th$100Professionalmedian $141 · 10th–90th $41$5620%5%10th90th$141$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
$79.43 / $91.20 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $302.00 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.02 / $83.18 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $173.78 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $239.88 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $63.10 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $177.83 / $512.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $107.15 / $158.49
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$107.15 / $123.03 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $380.19 / $537.03
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $97.72 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $263.03 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $389.05
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $89.13 / $114.82
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $199.53 / $269.15
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$302.00 / $380.19 / $851.14
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $346.74 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $134.90 / $501.19
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $245.47 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $257.04
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $389.05 / $630.96
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $95.50 / $154.88
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $269.15 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $724.44
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $371.54 / $371.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $794.33 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $208.93 / $331.13
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $616.60 / $1,230.27
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $812.83 / $1,548.82
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$141.25 / $208.93 / $436.52
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $616.60 / $1,000.00
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $162.18 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $263.03 / $691.83