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Montana rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.24 / $20.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $18.98 / $27.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $21.84 / $2,400,000.00