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Idaho rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $14.44 / $20.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.90 / $49.90 / $57.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $15.16 / $20.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00