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Maryland rates for HCPCS 70490

Computed tomography, soft tissue neck; without contrast material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $63.10 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $263.03 / $933.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.54 / $102.33 / $199.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $154.88 / $416.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $229.09
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $79.43 / $85.11
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $144.54 / $169.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $245.47 / $416.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $69.18 / $128.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.28 / $162.18 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $302.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $67.61 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $112.20 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $204.17 / $363.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $66.07 / $117.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $131.83 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $181.97 / $245.47
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.66 / $70.79 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $112.20 / $154.88