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Delaware rates for HCPCS 70487

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.63 / $69.62 / $140.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.87 / $287.22 / $321.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $56.06 / $165.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.92 / $231.15 / $261.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.36 / $287.64 / $381.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.85 / $67.18 / $99.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.88 / $193.67 / $307.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.05 / $217.05 / $217.05
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.97 / $67.05 / $67.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.06 / $231.26 / $416.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.52 / $73.48 / $126.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.35 / $201.17 / $333.88