go back

New Jersey rates for HCPCS 70487

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

Facilitymedian $76 · 10th–90th $52$3890%10%20%10th90th$76Professionalmedian $126 · 10th–90th $52$3390%5%10th90th$126$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
$52.48 / $75.86 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $257.04 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $81.28 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $151.36 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $43.65 / $93.33
AmeriHealth
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $63.10 / $120.23
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $295.12 / $489.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $74.13 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $204.17 / $371.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $257.04
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $70.79 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $144.54 / $173.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $165.96 / $407.38
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$45.71 / $53.70 / $100.00
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $114.82 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $223.87 / $389.05
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $64.57 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $144.54 / $295.12