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California rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.71 / $13.40 / $13.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $10.52 / $14.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $14.00 / $16.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $26.00 / $63.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $75.13 / $106.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $13.30 / $20.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $2,250,000.00 / $2,400,000.00