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Louisiana rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $14.36 / $17.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.33 / $13.55 / $17.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.79 / $20.47 / $20.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39