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Tennessee rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $98.00 / $262.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.74 / $275.00 / $419.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $59.49 / $145.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.48 / $220.00 / $286.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $279.92 / $279.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.45 / $57.20 / $122.73
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.98 / $170.98 / $170.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $296.19 / $474.70
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.66 / $87.35 / $134.32
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.38 / $195.76 / $355.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.17 / $55.17 / $60.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.62 / $288.32 / $468.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.59 / $81.11 / $131.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.19 / $201.01 / $346.42
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$488.64 / $488.64 / $498.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.97 / $1,708.01 / $1,708.01
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$384.71 / $384.71 / $428.03
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,023.00 / $2,023.00 / $2,023.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.88 / $261.07 / $406.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.85 / $68.28 / $116.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.69 / $170.36 / $281.12