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Michigan rates for HCPCS D0210

Intraoral - Comprehensive Series Of Radiographic Images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.76 / $41.76 / $41.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.79 / $41.76 / $47.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.34 / $55.21 / $58.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.76 / $41.76 / $41.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $41.76 / $51.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $131.69 / $131.69