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Missouri rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.39 / $11.98 / $22.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $19.26 / $37.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.53 / $9.73 / $47.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.99 / $8.90 / $16.60
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.74 / $10.47 / $11.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $23.50 / $45.37
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $13.59 / $20.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.82 / $10.36 / $24.78
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
$14.33 / $27.35 / $48.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.46 / $13.97 / $21.41
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.36 / $12.86 / $28.84
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.47 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $28.59 / $206.87
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.39 / $14.49 / $105.66
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.39 / $13.72 / $129.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $24.09 / $38.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.94 / $12.09 / $20.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.23 / $11.32 / $17.57