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Connecticut rates for HCPCS 70487

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

Facilitymedian $214 · 10th–90th $91$2510%20%10th90th$214Professionalmedian $141 · 10th–90th $55$4170%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
$91.20 / $213.80 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $85.11 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $169.82 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $346.74 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $109.65 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $223.87 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $371.54 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $85.11 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $281.84 / $416.87
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $354.81 / $467.74
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $77.62 / $95.50
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $173.78 / $331.13
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $229.09 / $588.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $67.61 / $162.18
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $147.91 / $371.54