go back

Wyoming 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
$79.17 / $79.17 / $80.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.84 / $329.76 / $488.49
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.65 / $84.14 / $154.81
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.21 / $218.37 / $404.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.00 / $1,205.00 / $1,205.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$212.00 / $348.00 / $348.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$522.00 / $857.00 / $857.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.09 / $635.52 / $1,052.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.71 / $144.69 / $252.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.86 / $436.62 / $774.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.60 / $581.61 / $1,915.11
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.51 / $157.18 / $270.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$328.72 / $408.87 / $1,644.50