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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
$11.49 / $29.56 / $39.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $19.69 / $32.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.14 / $9.73 / $21.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.38 / $10.11 / $15.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.66 / $12.95 / $13.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.02 / $16.02 / $20.03
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.97 / $7.97 / $10.37
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.05 / $8.06 / $10.07
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.16 / $11.16 / $11.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.13 / $26.38 / $42.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.23 / $12.26 / $21.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.90 / $13.43 / $23.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $25.20 / $206.87
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.69 / $11.46 / $105.66
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.66 / $13.18 / $129.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $21.44 / $37.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.52 / $10.83 / $19.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.66 / $11.06 / $18.54