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Ohio rates for HCPCS 70496

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

Facilitymedian $110 · 10th–90th $83$1620%20%10th90th$110Professionalmedian $178 · 10th–90th $79$5010%10%10th90th$178$1.0$5.0$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
$83.18 / $109.65 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $371.54 / $851.14
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$75.86 / $100.00 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$162.18 / $229.09 / $562.34
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $229.09 / $354.81
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$61.66 / $81.28 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $112.20 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$190.55 / $245.47 / $407.38
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$91.20 / $91.20 / $95.50
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $208.93 / $218.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $223.87 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $426.58 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $112.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $309.03 / $676.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$19.95 / $93.33 / $134.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $407.38 / $851.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$74.13 / $114.82 / $234.42
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $288.40 / $676.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $186.21
SummaCare
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $501.19
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$77.62 / $102.33 / $173.78
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$93.33 / $141.25 / $354.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $354.81 / $724.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$70.79 / $95.50 / $181.97
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $239.88 / $549.54