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Minnesota rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.50 / $12.50 / $21.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $10.57 / $12.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.94 / $158.09 / $322.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $36.88 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $9.49 / $9.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $14.02 / $22.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $75.13 / $75.13