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Washington rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $14.17 / $127.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.21 / $11.19 / $14.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $75.13 / $107.18
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $20.42 / $259.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $19.14 / $27.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $24.79 / $24.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.92 / $28.92 / $28.92