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Rhode Island rates for HCPCS 70355

Orthopantogram (eg, panoramic x-ray)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.29 / $51.29 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $29.51 / $100.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $16.22 / $38.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.08 / $10.96 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $45.71
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $12.59 / $22.39
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.08 / $9.77 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $34.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $18.20 / $22.91
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$7.94 / $17.78 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.92 / $41.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $12.02 / $19.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.71 / $12.30 / $22.91