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Georgia rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $78.65 / $237.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $275.00 / $585.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.30 / $81.64 / $165.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $220.00 / $444.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.33 / $115.33 / $217.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.65 / $67.61 / $95.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.15 / $170.15 / $170.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.16 / $268.17 / $508.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.91 / $75.48 / $150.77
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.26 / $171.18 / $360.08
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.52 / $116.26 / $197.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.98 / $60.98 / $60.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.99 / $348.37 / $608.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $94.18 / $160.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.66 / $236.91 / $476.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.69 / $299.44 / $888.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.76 / $93.81 / $198.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.93 / $196.24 / $761.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.56 / $148.52 / $269.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.78 / $267.83 / $512.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.70 / $78.76 / $127.37
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.20 / $190.19 / $354.21