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Tennessee 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
$55.00 / $99.54 / $450.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.41 / $328.00 / $572.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.00 / $85.63 / $227.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.13 / $227.00 / $380.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.15 / $235.62 / $489.56
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.02 / $88.48 / $154.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.91 / $137.91 / $239.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.86 / $509.55 / $925.33
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.68 / $128.52 / $201.35
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.64 / $361.65 / $784.97
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.75 / $85.75 / $94.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.89 / $511.96 / $839.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.27 / $120.65 / $192.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.94 / $371.13 / $657.37
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$755.84 / $755.84 / $773.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,893.96 / $3,234.12 / $3,234.12
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$559.72 / $559.72 / $662.48
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,441.41 / $2,749.60 / $2,752.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.27 / $448.77 / $737.81
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.24 / $102.64 / $196.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.67 / $333.94 / $551.80