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Massachusetts rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $23.08 / $23.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $13.24 / $23.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $885.11 / $1,722.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $38.90 / $283.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $15.23 / $23.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.32 / $49.35 / $65.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.49 / $885.11 / $885.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32