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Washington rates for HCPCS D0210

Intraoral - Comprehensive Series Of Radiographic Images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.69 / $64.69 / $64.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $50.10 / $64.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $256.32 / $256.32
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $314.82 / $422.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $103.51 / $699.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $97.38 / $135.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.66 / $96.93 / $98.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $138.47 / $138.47