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Wisconsin rates for HCPCS 70488

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

Facilitymedian $138 · 10th–90th $117$5500%20%10th90th$138Professionalmedian $191 · 10th–90th $65$5890%5%10th90th$191$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
$117.49 / $117.49 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $446.68
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$57.54 / $81.28 / $154.88
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $173.78 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $354.81 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$58.88 / $93.33 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$125.89 / $257.04 / $741.31
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$158.49 / $181.97 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $549.54 / $776.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$66.07 / $141.25 / $245.47
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$169.82 / $354.81 / $524.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $416.87 / $562.34
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$109.65 / $131.83 / $177.83
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $281.84 / $380.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $489.78 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$69.18 / $134.90 / $457.09
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $354.81 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $389.05
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $562.34 / $870.96
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $141.25 / $229.09
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$194.98 / $389.05 / $691.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $467.74 / $1,148.15
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$138.04 / $549.54 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $1,202.26 / $2,089.30
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $316.23 / $457.09
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $954.99 / $1,737.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,122.02 / $1,621.81
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $234.42 / $363.08
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$380.19 / $457.09 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $467.74 / $1,479.11
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $281.84 / $457.09
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$141.25 / $295.12 / $562.34