go back

California rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.70 / $67.76 / $368.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.01 / $349.43 / $1,179.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.11 / $67.76 / $199.57
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.78 / $288.45 / $820.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.28 / $194.22 / $329.83
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.58 / $52.30 / $134.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.31 / $449.96 / $740.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.00 / $91.28 / $177.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.78 / $355.79 / $570.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.38 / $259.57 / $632.15
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.35 / $76.78 / $185.03
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.12 / $183.84 / $440.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.70 / $68.70 / $68.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.94 / $346.09 / $636.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.33 / $78.53 / $169.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.27 / $260.97 / $503.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.54 / $240.92 / $325.24
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.86 / $66.20 / $89.38
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.68 / $174.71 / $235.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.56 / $243.41 / $417.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.65 / $79.45 / $129.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.71 / $202.07 / $327.64
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$546.72 / $546.72 / $561.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.67 / $2,075.08 / $2,075.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$460.66 / $460.66 / $479.55
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,624.23 / $1,685.33 / $1,726.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $122.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.70 / $68.70 / $68.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.93 / $375.00 / $592.87
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.54 / $77.38 / $162.69
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.27 / $273.25 / $479.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.57 / $678.57 / $678.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$206.68 / $206.68 / $206.68
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$471.89 / $471.89 / $471.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.84 / $267.91 / $561.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.77 / $283.45 / $611.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.04 / $68.14 / $152.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.55 / $225.87 / $484.36