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Tennessee rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.00 / $147.00 / $327.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $275.00 / $448.05
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $61.28 / $98.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.85 / $220.00 / $288.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.23 / $182.23 / $182.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.68 / $46.09 / $68.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.44 / $359.86 / $578.77
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.71 / $98.01 / $148.34
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.95 / $257.39 / $451.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.36 / $62.36 / $68.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.81 / $351.18 / $563.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.38 / $91.67 / $146.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.92 / $254.38 / $428.80
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$546.72 / $546.72 / $561.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.67 / $2,075.08 / $2,075.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$460.66 / $460.66 / $479.55
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,624.23 / $1,685.33 / $1,726.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.25 / $311.73 / $491.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.51 / $74.58 / $129.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.65 / $216.03 / $344.14