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Delaware rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.71 / $77.94 / $77.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.73 / $349.43 / $401.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.47 / $60.97 / $71.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.26 / $288.44 / $331.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $351.70 / $463.88
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.61 / $73.33 / $112.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.42 / $243.74 / $384.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.33 / $339.03 / $504.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.10 / $79.62 / $141.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.61 / $252.79 / $416.56