| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.52 | $8.52 | $14.90 | |
Aetna
| Professional | $8.52 | $13.94 | $20.07 | |
BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
Intraoral - Occlusal Radiographic Image
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.52 | $8.52 | $14.90 | |
Aetna
| Professional | $8.52 | $13.94 | $20.07 | |
BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |