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Hawaii rates for HCPCS 70487

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

Facilitymedian $60 · 10th–90th $54$710%10%20%10th90th$60Professionalmedian $158 · 10th–90th $56$4370%5%10th90th$158$50.0$100.0$200.0$500.0$1.0K$2.0K

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 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $239.88 / $616.60
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
$95.50 / $138.04 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $354.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $102.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $186.21 / $281.84
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $371.54 / $416.87
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $83.18 / $87.10
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $288.40 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $63.10 / $79.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $134.90 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $338.84 / $912.01
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $87.10 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $223.87 / $549.54
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $331.13 / $645.65
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $81.28 / $131.83
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$147.91 / $257.04 / $524.81