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Missouri rates for HCPCS 70488

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

Facilitymedian $135 · 10th–90th $69$2820%10%20%10th90th$135Professionalmedian $162 · 10th–90th $65$4170%5%10th90th$162$10.0$50.0$200.0$1.0K

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
$69.18 / $134.90 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $74.13 / $151.36
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $162.18 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $46.77 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $79.43 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $158.49 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $199.53 / $371.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $66.07 / $100.00
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $134.90 / $281.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $67.61 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $616.60
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $83.18 / $151.36
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $234.42 / $489.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$436.52 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $363.08 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $89.13 / $457.09
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $269.15 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $263.03 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $77.62 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $173.78 / $346.74