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Louisiana rates for HCPCS 70487

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

Facilitymedian $65 · 10th–90th $60$790%20%40%10th90th$65Professionalmedian $129 · 10th–90th $55$3020%5%10th90th$129$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
$60.26 / $64.57 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $213.80 / $416.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $72.44 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $125.89 / $263.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $50.12 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $316.23
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $75.86 / $107.15
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $154.88 / $204.17
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $51.29 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $213.80 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $66.07 / $112.20
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$69.18 / $128.82 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $380.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $58.88 / $91.20
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $123.03 / $251.19