go back

Maryland rates for HCPCS 70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $87.10 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $436.52 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $95.50 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $239.88 / $645.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $107.15 / $120.23
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $288.40 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $446.68 / $851.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $95.50 / $186.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $323.59 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $91.20 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $239.88 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $380.19 / $758.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $89.13 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $275.42 / $616.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $426.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.18 / $95.50 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $223.87 / $295.12