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Missouri rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $16.64 / $16.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $13.90 / $17.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $16.12 / $22.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $19.28 / $37.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $283.32 / $283.32