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Wyoming rates for HCPCS 70487

Ct Maxillofacial W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.18 / $51.18 / $52.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.76 / $201.76 / $363.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.88 / $60.04 / $129.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.88 / $137.11 / $301.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.00 / $662.00 / $662.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.00 / $224.00 / $224.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.00 / $438.00 / $438.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $328.18 / $479.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.93 / $85.16 / $162.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.66 / $216.99 / $364.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $327.37 / $927.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.17 / $101.40 / $200.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.60 / $215.93 / $727.10