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Missouri rates for HCPCS 70496

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

Facilitymedian $135 · 10th–90th $95$3890%20%10th90th$135Professionalmedian $170 · 10th–90th $78$4900%10%10th90th$170$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$95.50 / $134.90 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $93.33 / $229.09
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $218.78 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $91.20 / $134.90
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $107.15 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $223.87 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $302.00 / $524.81
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $89.13 / $123.03
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $208.93 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $93.33 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $457.09 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $109.65 / $208.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $346.74 / $794.33
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $776.25 / $776.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $524.81 / $3,235.94
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$81.28 / $117.49 / $562.34
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $398.11 / $2,754.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $380.19 / $741.31
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$79.43 / $100.00 / $208.93
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $257.04 / $549.54