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Minnesota rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $13.75 / $16.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.56 / $172.22 / $400.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.57 / $64.31 / $66.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $20.87 / $30.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32