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Missouri rates for HCPCS 70488

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.34 / $83.50 / $137.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.40 / $236.40 / $1,087.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.11 / $69.34 / $283.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.88 / $158.00 / $786.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.88 / $44.38 / $69.34
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.22 / $106.22 / $106.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.17 / $249.52 / $719.10
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.89 / $80.93 / $147.00
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.28 / $170.01 / $588.26
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
$160.24 / $308.81 / $624.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.84 / $87.12 / $157.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.31 / $227.76 / $510.77
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$434.48 / $561.91 / $561.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.79 / $383.60 / $2,075.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.68 / $87.88 / $460.66
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.41 / $283.29 / $1,685.33
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.63 / $108.63 / $108.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.65 / $304.81 / $484.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.97 / $78.81 / $130.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.38 / $210.33 / $378.17