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Illinois rates for HCPCS 70496

Ct Angiography Head W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.48 / $133.40 / $163.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.32 / $385.88 / $981.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.51 / $107.12 / $370.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$170.48 / $290.08 / $386.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.72 / $231.29 / $283.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.64 / $87.22 / $112.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $325.79 / $612.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.42 / $108.42 / $108.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $430.32 / $810.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.79 / $112.15 / $170.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$191.80 / $303.22 / $645.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.95 / $478.14 / $1,833.52
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.68 / $141.79 / $574.16
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.65 / $336.91 / $1,349.66
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.55 / $339.11 / $365.64
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.05 / $102.40 / $107.99
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.16 / $239.06 / $257.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $112.98 / $362.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.89 / $499.20 / $787.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $107.52 / $170.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.69 / $353.17 / $645.30