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Michigan rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $12.52 / $12.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.52 / $13.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $17.39 / $17.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $12.52 / $12.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $12.52 / $16.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.20 / $34.79 / $100.00