go back

Connecticut rates for HCPCS 70487

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.20 / $213.80 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $275.42 / $691.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $83.18 / $234.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $190.55 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $426.58 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $114.82 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $288.40 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $371.54 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $85.11 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $281.84 / $407.38
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $467.74
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $72.44 / $95.50
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $154.88 / $309.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $87.10 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $251.19 / $436.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $66.07 / $134.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $162.18 / $302.00