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Delaware rates for HCPCS 70487

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

Facilitymedian $60 · 10th–90th $54–$1410%20%10th90th$60Professionalmedian $126 · 10th–90th $55–$2880%5%10%10th90th$126$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
$53.70 / $60.26 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $234.42 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $70.79 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $194.98 / $316.23
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $263.03 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $77.62 / $269.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $147.91 / $446.68