go back

Illinois rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.14 / $107.40 / $118.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.15 / $304.54 / $443.70
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.02 / $66.63 / $117.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.13 / $214.37 / $359.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.42 / $139.28 / $241.21
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.88 / $58.89 / $60.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $217.20 / $416.37
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.37 / $87.37 / $87.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.03 / $300.00 / $557.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.21 / $84.24 / $130.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$124.29 / $204.33 / $409.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.35 / $337.00 / $1,346.23
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.20 / $102.71 / $528.63
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.06 / $225.98 / $937.94
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.04 / $225.55 / $243.39
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.34 / $74.15 / $78.22
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.88 / $153.21 / $165.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $81.83 / $254.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.87 / $330.86 / $514.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.58 / $83.72 / $132.46
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.29 / $236.27 / $407.62