go back

Wisconsin rates for HCPCS D0210

Intraoral-Complete Series Of Radiographic Images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $38.86 / $38.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $43.19 / $50.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.43 / $96.76 / $208.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $47.00 / $89.53
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $36.53 / $36.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $49.74 / $103.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.82 / $314.82 / $314.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $177.33
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.79 / $46.52 / $89.53
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $36.53 / $36.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.18 / $115.95 / $166.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.68 / $93.68 / $256.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.78 / $314.82 / $314.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.59 / $107.32 / $113.63