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Rhode Island rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$341.84 / $341.84 / $475.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.30 / $272.27 / $347.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.91 / $59.49 / $81.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.39 / $190.77 / $278.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.39 / $224.26 / $551.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.41 / $76.30 / $121.77
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.58 / $147.97 / $147.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.63 / $321.66 / $436.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.35 / $107.48 / $114.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.21 / $214.18 / $303.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.95 / $255.36 / $346.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.48 / $71.31 / $113.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.47 / $164.46 / $254.10