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Pennsylvania rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $19.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.00 / $10.00
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $17.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $19.50 / $10,232.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $20.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $8.91 / $8.91