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Iowa rates for HCPCS 70487

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

Facilitymedian $105 · 10th–90th $50$2880%20%10th90th$105Professionalmedian $138 · 10th–90th $55$4370%5%10th90th$138$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
$50.12 / $104.71 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $95.50 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $138.04 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $371.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $125.89 / $162.18
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $245.47 / $416.87
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $295.12 / $1,000.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $97.72 / $323.59
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $204.17 / $724.44
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $501.19 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $85.11 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $223.87 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $616.60
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $131.83 / $165.96
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $245.47 / $489.78
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $426.58 / $549.54
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $131.83 / $213.80
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $281.84 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $114.82 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $794.33
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $91.20 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $162.18 / $331.13
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $346.74
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$102.33 / $102.33 / $120.23
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $194.98 / $229.09