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New Mexico rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.27 / $1,285.27 / $1,285.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.65 / $12.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $1,269.59 / $4,359.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $17.71 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.95 / $14.64 / $18.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $2,250,000.00 / $2,250,000.00