go back

Wyoming rates for HCPCS 70486

Computed tomography, maxillofacial area; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $229.09 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $79.43 / $104.71
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $173.78 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $512.86
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $158.49 / $158.49
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.23 / $85.11 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $208.93 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $776.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $77.62 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $194.98 / $588.84