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Wyoming rates for HCPCS 70487

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

Facilitymedian $51 · 10th–90th $51–$510%50%100%$51Professionalmedian $155 · 10th–90th $59–$3630%5%10th90th$155$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $363.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$51.29 / $83.18 / $144.54
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$109.65 / $151.36 / $302.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $616.60 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$134.90 / $208.93 / $208.93
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $354.81 / $758.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $112.20 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $239.88 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $338.84 / $933.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $100.00 / $199.53
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $223.87 / $724.44