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Virginia rates for HCPCS 70488

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

Facilitymedian $105 · 10th–90th $52$3890%10%20%10th90th$105Professionalmedian $170 · 10th–90th $62$3890%5%10th90th$170$20.0$100.0$500.0$2.0K$10.0K

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
$52.48 / $104.71 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $239.88 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$52.48 / $72.44 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$120.23 / $165.96 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $257.04 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$56.23 / $77.62 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $173.78 / $288.40
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $234.42 / $1,000.00
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $81.28 / $109.65
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$165.96 / $194.98 / $281.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $346.74 / $562.34
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$47.86 / $77.62 / $141.25
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$114.82 / $251.19 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $218.78 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$53.70 / $66.07 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $151.36 / $199.53
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $524.81 / $537.03
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $123.03 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $316.23
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $295.12 / $831.76
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$63.10 / $87.10 / $141.25
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $257.04 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $575.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$42.66 / $75.86 / $128.82
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$112.20 / $208.93 / $457.09