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South Carolina rates for HCPCS 70487

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

Facilitymedian $83 · 10th–90th $63$1070%50%10th90th$83Professionalmedian $138 · 10th–90th $55$3550%5%10%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
$63.10 / $83.18 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $275.42 / $524.81
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $81.28 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $181.97 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $50.12 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $257.04 / $478.63
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $75.86 / $151.36
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $147.91 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $288.40 / $524.81
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $75.86 / $131.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $208.93 / $389.05
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $269.15 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $69.18 / $120.23
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $190.55 / $371.54