go back

Texas rates for HCPCS 70496

Ct Angiography Head W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.53 / $85.62 / $125.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.83 / $309.66 / $615.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.53 / $88.35 / $243.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$149.29 / $213.56 / $449.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.45 / $246.70 / $407.06
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.62 / $86.11 / $152.65
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.64 / $108.64 / $108.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $192.40 / $302.66
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.70 / $371.57 / $520.90
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.48 / $77.48 / $83.56
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
$233.00 / $410.00 / $865.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.18 / $93.67 / $170.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.72 / $293.97 / $679.60
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$600.40 / $755.84 / $773.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.00 / $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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.53 / $340.45 / $679.63
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.44 / $131.29 / $318.27
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.63 / $318.10 / $771.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.32 / $231.30 / $481.67
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.56 / $94.56 / $94.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.66 / $439.76 / $855.86
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.26 / $88.10 / $167.38
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.69 / $280.57 / $726.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.87 / $384.22 / $653.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.36 / $89.50 / $152.15
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.48 / $275.41 / $521.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.02 / $246.70 / $350.15
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.91 / $78.28 / $108.03
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$152.11 / $177.78 / $1,100.00