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Wisconsin rates for HCPCS D0220

Intraoral - Periapical First Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.51 / $12.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $20.52 / $47.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $9.77 / $17.60
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $11.46 / $23.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.13 / $75.13 / $75.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.10 / $55.00 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $9.77 / $17.60
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $29.97 / $43.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.36 / $23.36 / $75.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $75.13 / $75.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $20.39 / $21.59