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Georgia rates for HCPCS 70487

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

Facilitymedian $91 · 10th–90th $55$2450%20%10th90th$91Professionalmedian $145 · 10th–90th $55$3630%10%10th90th$145$0.1$0.5$2.0$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
$54.95 / $91.20 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $87.10 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $173.78 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $75.86 / $97.72
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $288.40 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $194.98 / $363.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $107.15 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $323.59 / $575.44
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $83.18 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $223.87 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $199.53 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $70.79 / $190.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $131.83 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $141.25 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $269.15 / $524.81
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $72.44 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $177.83 / $354.81