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Minnesota rates for HCPCS 70487

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

Facilitymedian $170 · 10th–90th $54$3720%10%10th90th$170Professionalmedian $170 · 10th–90th $63$4270%5%10th90th$170$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
$51.29 / $53.70 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $234.42 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $87.10 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $138.04 / $302.00
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$37.15 / $44.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $549.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $131.83 / $190.55
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $269.15 / $363.08
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $190.55 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $302.00 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $102.33 / $165.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $199.53 / $407.38
Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $190.55 / $371.54
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $489.78
Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $79.43 / $141.25
Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $158.49 / $331.13
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $338.84 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $117.49 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $223.87 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $257.04 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$67.61 / $141.25 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $208.93 / $354.81