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Massachusetts rates for HCPCS 70487

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

Facilitymedian $93 · 10th–90th $41$2140%20%10th90th$93Professionalmedian $141 · 10th–90th $56$4070%5%10%10th90th$141$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
$40.74 / $85.11 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $263.03 / $616.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $109.65 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $154.88 / $436.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $338.84 / $338.84
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $275.42 / $1,819.70
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $398.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $213.80 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $426.58 / $776.25
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $104.71 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $316.23 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$44.67 / $79.43 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $234.42 / $416.87
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $151.36 / $295.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $257.04 / $478.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $79.43 / $144.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $158.49 / $281.84
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $109.65
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$125.89 / $338.84 / $338.84
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $275.42 / $1,819.70
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $398.11
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $213.80 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $269.15 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $79.43 / $173.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $181.97 / $407.38