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Indiana rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $8.61 / $8.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $10.51 / $11.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $27.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $15.00 / $19.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $10.72 / $11.40