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Illinois rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.94 / $88.20 / $105.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.63 / $268.60 / $458.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.50 / $69.08 / $222.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.31 / $169.77 / $287.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.33 / $107.41 / $121.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.61 / $50.88 / $72.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $179.94 / $344.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.11 / $80.11 / $80.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.56 / $241.61 / $459.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.30 / $75.09 / $118.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.60 / $159.52 / $327.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.93 / $278.77 / $1,194.54
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.37 / $93.87 / $478.17
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.72 / $179.96 / $847.50
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.12 / $186.52 / $201.34
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.70 / $66.14 / $69.73
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.97 / $121.81 / $131.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.95 / $210.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.03 / $284.23 / $430.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.60 / $78.42 / $117.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.72 / $177.99 / $321.99