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Missouri rates for HCPCS 70496

Ct Angiography Head W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.95 / $105.79 / $175.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.95 / $390.81 / $1,449.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.58 / $95.53 / $384.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.47 / $270.97 / $1,053.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.36 / $209.03 / $244.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.31 / $86.06 / $123.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.82 / $344.76 / $770.29
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.55 / $111.35 / $182.98
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.26 / $237.37 / $607.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.56 / $94.56 / $94.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.60 / $450.00 / $974.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.22 / $118.43 / $206.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.76 / $344.87 / $832.72
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$600.40 / $773.84 / $773.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.35 / $552.54 / $3,234.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.41 / $118.74 / $559.72
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.32 / $425.68 / $2,749.60
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$150.16 / $150.16 / $150.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.67 / $432.13 / $779.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.96 / $104.38 / $193.14
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.74 / $315.57 / $584.94