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New Mexico rates for HCPCS 70487

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

Facilitymedian $87 · 10th–90th $72$950%20%10th90th$87Professionalmedian $138 · 10th–90th $54$3160%5%10th90th$138$50.0$100.0$200.0$500.0$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
$72.44 / $87.10 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $489.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $70.79 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $138.04 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $107.15 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $354.81 / $512.86
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $79.43 / $117.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $275.42 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $177.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $489.78
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $79.43 / $117.49
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $275.42 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $446.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $56.23 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $204.17 / $323.59