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Missouri 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
$70.25 / $81.15 / $121.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.36 / $314.01 / $1,141.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.95 / $99.53 / $307.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.27 / $220.00 / $760.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.64 / $139.32 / $155.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.27 / $62.89 / $91.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.62 / $85.62 / $101.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.83 / $261.41 / $582.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.45 / $87.05 / $143.32
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.37 / $176.53 / $454.56
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
$160.47 / $289.49 / $523.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.98 / $93.49 / $163.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.73 / $202.48 / $402.42
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$473.36 / $612.88 / $612.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.71 / $322.33 / $1,680.90
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.92 / $95.21 / $414.94
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.97 / $240.24 / $1,425.00
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.48 / $118.48 / $118.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.85 / $291.51 / $441.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.03 / $82.45 / $152.66
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.29 / $188.95 / $331.33