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Nebraska 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
$57.91 / $310.44 / $523.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.68 / $330.93 / $1,179.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.91 / $70.12 / $153.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.77 / $121.77 / $820.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.62 / $79.23 / $134.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.98 / $349.50 / $371.94
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.54 / $112.81 / $119.87
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.40 / $236.66 / $252.06
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$332.94 / $332.94 / $332.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.31 / $416.85 / $633.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.44 / $132.24 / $169.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.87 / $282.27 / $446.58
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$561.91 / $561.91 / $561.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.72 / $419.21 / $2,075.08
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.79 / $122.77 / $460.66
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.31 / $283.14 / $1,685.33
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.37 / $224.73 / $332.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.09 / $446.63 / $633.99
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.17 / $171.90 / $306.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.66 / $419.21 / $501.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.79 / $120.61 / $150.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.31 / $283.14 / $376.93