go back

North Dakota rates for HCPCS 70487

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

Facilitymedian $54 · 10th–90th $39$910%20%10th90th$54Professionalmedian $141 · 10th–90th $54$3310%5%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
$38.90 / $53.70 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $229.09 / $436.52
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $87.10 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $147.91 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $354.81 / $398.11
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $123.03 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $234.42 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $85.11 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $194.98 / $354.81
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 / $316.23 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $104.71 / $389.05
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $208.93 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $269.15 / $436.52
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $97.72 / $144.54
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $213.80 / $346.74