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North Carolina rates for HCPCS 70487

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

Facilitymedian $74 · 10th–90th $54$1660%20%10th90th$74Professionalmedian $155 · 10th–90th $56$4370%5%10th90th$155$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
$53.70 / $72.44 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $95.50 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $173.78 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $100.00 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $151.36 / $173.78
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $436.52 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $91.20 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $234.42 / $467.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $141.25 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $281.84 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $75.86 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $199.53 / $323.59
Wellcare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,819.70 / $1,819.70
Wellcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $398.11 / $426.58
Wellcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74