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Iowa rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.39 / $101.44 / $276.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.32 / $272.27 / $384.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.37 / $59.49 / $256.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.94 / $137.04 / $283.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$193.34 / $199.14 / $204.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.22 / $365.35 / $757.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.48 / $121.78 / $165.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.76 / $243.04 / $598.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.91 / $251.37 / $791.18
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.66 / $86.58 / $204.45
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.26 / $161.96 / $586.92
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$388.00 / $498.88 / $498.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.25 / $311.26 / $1,708.01
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.82 / $77.69 / $384.71
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.43 / $192.12 / $2,023.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.14 / $204.94 / $295.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.50 / $365.35 / $569.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.43 / $143.60 / $254.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.42 / $203.91 / $357.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.74 / $72.00 / $126.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.55 / $134.25 / $274.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.71 / $297.10 / $349.60
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.58 / $102.00 / $120.00
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.13 / $195.10 / $229.50