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South Carolina rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $620.69 / $1,268.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $10.51 / $11.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.64 / $114.19 / $114.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $9.56 / $20.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $10.51 / $17.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.88 / $41.88 / $41.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00