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Nebraska rates for HCPCS 70488

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

Facilitymedian $186 · 10th–90th $76$5620%20%10th90th$186Professionalmedian $178 · 10th–90th $62$4680%5%10%10th90th$178$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
$75.86 / $186.21 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $346.74 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $85.11 / $158.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $213.80 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $346.74 / $371.54
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$104.71 / $112.20 / $120.23
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $229.09 / $288.40
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $131.83 / $173.78
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $295.12 / $489.78
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $416.87 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $117.49 / $457.09
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $281.84 / $1,698.24
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $630.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $131.83 / $199.53
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $281.84 / $436.52
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $630.96
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$114.82 / $134.90 / $199.53
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $436.52 / $512.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $131.83 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $380.19 / $776.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $117.49 / $165.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$154.88 / $257.04 / $389.05