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Tennessee rates for HCPCS 70487

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

Facilitymedian $98 · 10th–90th $72$3390%20%10th90th$98Professionalmedian $151 · 10th–90th $55$3630%5%10th90th$151$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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 / $97.72 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $275.42 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $169.82
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$102.33 / $190.55 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $50.12 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $190.55 / $436.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $89.13 / $134.90
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $190.55 / $354.81
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $281.84 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $77.62 / $134.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$91.20 / $199.53 / $346.74
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $1,819.70
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $426.58 / $426.58
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $407.38
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $69.18 / $114.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$100.00 / $165.96 / $288.40