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Massachusetts rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.68 / $14.68 / $14.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $11.12 / $21.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $75.00 / $86.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $26.07 / $75.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $13.58 / $20.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $31.82 / $42.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $75.00 / $75.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $75.13 / $75.13