go back

California rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $20.07 / $20.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $13.57 / $20.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $19.68 / $24.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,054.80 / $2,572.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.60 / $37.00 / $87.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.45 / $283.32 / $283.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $19.45 / $27.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $31.00 / $34.00