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Arizona rates for HCPCS 70491

Computed tomography, soft tissue neck; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.70 / $125.98 / $244.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.02 / $312.27 / $909.91
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.34 / $78.81 / $254.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.00 / $221.81 / $364.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $163.22 / $241.28
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.39 / $75.23 / $115.32
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.33 / $66.33 / $126.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.25 / $210.57 / $263.20
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.71 / $64.81 / $81.01
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.54 / $145.76 / $182.20
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.84 / $74.84 / $74.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.15 / $283.86 / $477.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.42 / $79.48 / $139.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.59 / $213.27 / $357.16
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$612.88 / $612.88 / $612.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.85 / $278.94 / $1,680.90
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.37 / $70.73 / $414.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.72 / $222.57 / $1,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.85 / $251.94 / $457.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.37 / $60.26 / $126.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.72 / $193.55 / $297.55