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Texas rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.12 / $55.03 / $70.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.13 / $191.06 / $451.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.47 / $59.49 / $154.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.21 / $124.81 / $301.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $181.84 / $236.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.47 / $62.28 / $98.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.02 / $128.01 / $197.05
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.66 / $231.05 / $287.02
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.08 / $50.08 / $53.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.98 / $60.98 / $60.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $237.67 / $499.31
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.45 / $65.26 / $124.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.06 / $163.16 / $372.19
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$388.00 / $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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $247.10 / $453.05
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.86 / $84.86 / $205.72
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.83 / $162.24 / $393.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.15 / $118.85 / $273.04
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.98 / $60.98 / $60.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.76 / $260.63 / $483.21
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.17 / $63.23 / $118.75
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.06 / $161.53 / $370.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.18 / $220.51 / $381.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.99 / $57.74 / $106.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.10 / $151.15 / $272.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.82 / $143.51 / $203.39
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.89 / $50.59 / $69.84
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.92 / $98.07 / $1,100.00