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Michigan rates for HCPCS 70488

Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections

Facilitymedian $79 · 10th–90th $78$980%20%40%10th90th$79Professionalmedian $186 · 10th–90th $65$5010%5%10th90th$186$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $79.43 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $77.62 / $177.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $213.80 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $57.54 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $295.12
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $95.50 / $128.82
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $323.59 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $83.18 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $223.87 / $416.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$77.62 / $81.28 / $162.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $316.23 / $616.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $77.62 / $162.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $229.09 / $426.58
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $302.00 / $575.44
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $77.62 / $123.03
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $199.53 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $281.84 / $562.34
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $75.86 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $213.80 / $380.19