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Utah rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Facilitymedian $9 · 10th–90th $9–$90%50%100%$9Professionalmedian $11 · 10th–90th $9–$170%20%10th90th$11$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $15.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.45 / $14.45
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.85 / $17.38