go back

Missouri rates for HCPCS 70487

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

Facilitymedian $87 · 10th–90th $62$2510%20%10th90th$87Professionalmedian $132 · 10th–90th $56$3390%5%10th90th$132$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
$61.66 / $87.10 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $87.10 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $138.04 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $43.65 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $190.55 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $70.79 / $128.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $125.89 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $165.96 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $58.88 / $89.13
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $107.15 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$13.18 / $60.26 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $257.04 / $501.19
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $75.86 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $186.21 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$389.05 / $501.19 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $295.12 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $81.28 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $218.78 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $218.78 / $398.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $69.18 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $134.90 / $281.84