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Tennessee rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $192.43 / $214.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $9.66 / $11.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $56.40 / $58.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $75.13 / $106.73