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Illinois rates for HCPCS 70487

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

Facilitymedian $93 · 10th–90th $56$1620%10%20%10th90th$93Professionalmedian $138 · 10th–90th $56$3630%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
$56.23 / $93.33 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $645.65
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $93.33 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $154.88 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$40.74 / $50.12 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $165.96 / $346.74
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $251.19 / $478.63
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $75.86 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $173.78 / $354.81
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $389.05 / $1,445.44
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $112.20 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $275.42 / $977.24
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $186.21 / $199.53
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $66.07 / $69.18
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$117.49 / $123.03 / $131.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $263.03 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $85.11 / $186.21
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $173.78 / $331.13