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Indiana rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $12.52 / $17.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $38.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $21.55 / $28.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $17.39 / $17.93