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Pennsylvania rates for HCPCS 70488

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

Facilitymedian $158 · 10th–90th $66$2510%10%10th90th$158Professionalmedian $174 · 10th–90th $62$4570%5%10th90th$174$20.0$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
$66.07 / $158.49 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $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 / $186.21 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $309.03 / $309.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$60.26 / $77.62 / $158.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $162.18 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $338.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$46.77 / $79.43 / $125.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $239.88 / $467.74
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $257.04 / $309.03
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $79.43 / $95.50
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$131.83 / $173.78 / $218.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $524.81
Geisinger
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $75.86 / $128.82
Geisinger
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $199.53 / $389.05
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $72.44 / $91.20
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $109.65 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $275.42 / $616.60
Martin's Point
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $75.86 / $147.91
Martin's Point
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $199.53 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $323.59 / $602.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $60.26 / $61.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $125.89 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $263.03 / $489.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $70.79 / $125.89
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $181.97 / $398.11