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Idaho rates for HCPCS 70487

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

Facilitymedian $78 · 10th–90th $69$1410%20%10th90th$78Professionalmedian $148 · 10th–90th $55$3470%5%10th90th$148$10.0$20.0$50.0$100.0$200.0$500.0$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
$69.18 / $77.62 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $263.03 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $165.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $177.83 / $338.84
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $281.84 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$85.11 / $100.00 / $141.25
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $199.53 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $66.07 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$83.18 / $131.83 / $331.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $954.99
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $426.58 / $426.58
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $426.58 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$69.18 / $125.89 / $141.25
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $512.86
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $102.33 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $199.53 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $102.33
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $380.19
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $107.15 / $128.82
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$151.36 / $213.80 / $257.04
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $144.54 / $588.84
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $117.49
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $102.33 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $257.04 / $457.09
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $60.26 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $190.55 / $354.81