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Arizona rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.48 / $37.15 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.89 / $77.62
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $10.96 / $37.15
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.03 / $8.91 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $17.78 / $27.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.41 / $13.49 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $17.38 / $31.62
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.92 / $8.91 / $15.85
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.08 / $8.71 / $16.22
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.45 / $11.48 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.30 / $42.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $12.02 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.92 / $12.59 / $23.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.44 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.99 / $208.93
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $11.48 / $104.71
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.71 / $12.59 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $21.88 / $33.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $10.72 / $15.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.71 / $10.96 / $17.78