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Ohio rates for HCPCS 70488

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

Facilitymedian $81 · 10th–90th $60$2090%10%20%10th90th$81Professionalmedian $178 · 10th–90th $65$4170%10%10th90th$178$1.0$5.0$20.0$100.0$500.0$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
$60.26 / $81.28 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $257.04 / $676.08
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$54.95 / $77.62 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $173.78 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $75.86 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $323.59 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $91.20 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $229.09 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $302.00 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $83.18 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $208.93 / $457.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$14.45 / $67.61 / $97.72
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $295.12 / $588.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $81.28 / $141.25
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $204.17 / $446.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $120.23
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $147.91 / $323.59
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $72.44 / $125.89
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$60.26 / $75.86 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $239.88 / $478.63
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $72.44 / $138.04
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $158.49 / $346.74