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Rhode Island rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$384.50 / $384.50 / $534.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $330.93 / $422.68
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.93 / $64.70 / $75.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.55 / $239.94 / $347.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.65 / $271.35 / $663.51
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.77 / $85.38 / $132.97
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.19 / $185.98 / $185.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.00 / $389.88 / $476.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.20 / $121.06 / $128.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.77 / $268.82 / $335.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.79 / $300.93 / $436.92
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.28 / $81.42 / $116.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.55 / $208.52 / $314.14