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Florida rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.30 / $71.92 / $209.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $225.20 / $391.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.30 / $60.97 / $90.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $152.90 / $300.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $121.87 / $147.99
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.06 / $61.62 / $104.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.70 / $68.70 / $184.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.63 / $270.41 / $546.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.79 / $70.84 / $128.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.99 / $189.51 / $421.53
Florida Blue
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.20 / $67.20 / $67.20
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.12 / $241.81 / $365.52
Florida Blue
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.05 / $71.66 / $89.98
Florida Blue
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.84 / $165.36 / $285.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $146.59 / $243.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $239.09 / $474.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.14 / $58.05 / $111.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.47 / $170.45 / $344.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.99 / $132.99 / $132.99
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.75 / $41.75 / $41.75
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.24 / $91.24 / $91.24