| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.77 | $13.40 | $13.40 | |
Aetna
| Professional | $10.28 | $13.24 | $13.71 | |
Anthem BCBS
| Professional | $18.00 | $24.00 | $24.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.77 | $13.40 | $13.40 | |
Aetna
| Professional | $10.28 | $13.24 | $13.71 | |
Anthem BCBS
| Professional | $18.00 | $24.00 | $24.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |