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Arizona rates for HCPCS 70487

Computed tomography, maxillofacial area; with contrast material(s)

Facilitymedian $186 · 10th–90th $78$2570%10%10th90th$186Professionalmedian $145 · 10th–90th $55$3800%5%10th90th$145$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 / $186.21 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $263.03 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $95.50 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $158.49 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $43.65 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $218.78 / $346.74
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $66.07 / $104.71
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $151.36 / $239.88
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $60.26 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $239.88 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $69.18 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $165.96 / $346.74
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $501.19 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $63.10 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $229.09 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $234.42 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $57.54 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $158.49 / $269.15