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Oregon rates for HCPCS 70487

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

Facilitymedian $120 · 10th–90th $85$2040%10%20%10th90th$120Professionalmedian $158 · 10th–90th $56$3800%5%10th90th$158$10.0$20.0$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
$85.11 / $123.03 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $275.42 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $100.00 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$104.71 / $194.98 / $380.19
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
$162.18 / $288.40 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $154.88
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $204.17 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $338.84 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $114.82 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $223.87 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $120.23 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $354.81 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $112.20 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $234.42 / $389.05
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $141.25 / $371.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $354.81 / $549.54
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $112.20 / $154.88
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$107.15 / $239.88 / $467.74
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $371.54 / $467.74
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $114.82 / $154.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $245.47 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $281.84 / $501.19
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $75.86 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $199.53 / $346.74