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New York rates for HCPCS 70487

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

Facilitymedian $66 · 10th–90th $56$1410%20%10th90th$66Professionalmedian $138 · 10th–90th $56$3630%5%10th90th$138$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
$57.54 / $66.07 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $89.13 / $218.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $154.88 / $380.19
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
$29.51 / $29.51 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $194.98 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $61.66 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $128.82 / $354.81
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $154.88 / $229.09
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 / $316.23 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $79.43 / $223.87
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $223.87 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $204.17 / $316.23
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $74.13 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $144.54 / $208.93
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $257.04 / $389.05
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $77.62 / $134.90
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $165.96 / $257.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $186.21 / $213.80
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $64.57 / $117.49
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $229.09 / $407.38
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$64.57 / $77.62 / $141.25
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $151.36 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $229.09 / $602.56
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $263.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $154.88 / $426.58
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$43.65 / $61.66 / $208.93
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $239.88 / $446.68
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$43.65 / $77.62 / $154.88
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$87.10 / $165.96 / $295.12