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Virginia rates for HCPCS 70487

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

Facilitymedian $85 · 10th–90th $48$2140%10%10th90th$85Professionalmedian $132 · 10th–90th $55$3240%5%10th90th$132$10.0$50.0$200.0$1.0K$5.0K

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
$47.86 / $85.11 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $549.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $79.43 / $204.17
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $138.04 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $331.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $69.18 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $138.04 / $234.42
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $194.98 / $831.76
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $74.13 / $97.72
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $158.49 / $208.93
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $281.84 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $72.44 / $123.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $199.53 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $177.83 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $58.88 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $120.23 / $158.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $436.52 / $446.68
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $114.82 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $257.04
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $239.88 / $741.31
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $79.43 / $125.89
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $204.17 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $239.88 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$38.90 / $69.18 / $123.03
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$89.13 / $162.18 / $363.08