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Georgia rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $130.57 / $267.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.16 / $275.00 / $709.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $64.51 / $155.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.78 / $220.00 / $540.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.28 / $139.28 / $147.60
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.08 / $67.34 / $104.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.48 / $213.48 / $213.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.89 / $303.60 / $612.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.35 / $79.23 / $168.71
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.53 / $206.40 / $450.53
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
$201.24 / $422.70 / $739.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.60 / $105.95 / $179.71
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$139.83 / $297.58 / $593.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.17 / $362.12 / $1,080.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.56 / $102.07 / $222.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.61 / $246.56 / $919.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.56 / $186.15 / $325.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.59 / $331.65 / $623.60
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.31 / $90.12 / $142.63
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.82 / $249.55 / $453.70