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New Mexico rates for HCPCS 70488

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

Facilitymedian $85 · 10th–90th $81$850%50%10th$85Professionalmedian $170 · 10th–90th $60$3720%5%10th90th$170$50.0$100.0$200.0$500.0$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
$81.28 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $239.88 / $467.74
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $67.61 / $117.49
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $169.82 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $128.82 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $426.58 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $87.10 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $346.74 / $512.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $218.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $426.58 / $588.84
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $87.10 / $128.82
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$134.90 / $346.74 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $537.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $61.66 / $131.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $257.04 / $407.38