go back

Maryland rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.14 / $62.44 / $91.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.31 / $264.68 / $941.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.85 / $65.43 / $226.85
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.15 / $176.98 / $439.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.77 / $235.30 / $298.83
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.17 / $67.87 / $86.19
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.59 / $167.43 / $212.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.41 / $276.14 / $476.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.53 / $68.30 / $130.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.24 / $188.85 / $355.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.85 / $206.21 / $375.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.95 / $67.62 / $109.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.15 / $136.93 / $273.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.60 / $201.71 / $412.22
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.06 / $63.51 / $106.96
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.86 / $136.62 / $320.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.88 / $173.53 / $225.59
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.96 / $56.33 / $73.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.92 / $117.20 / $149.82