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Alaska rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.41 / $442.41 / $442.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $18.79 / $18.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $13.30 / $26.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $15.30 / $21.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $46.00 / $52.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.79 / $25.74 / $26.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $46.00 / $2,400,000.00