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New York rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $11.21 / $12.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.13 / $23.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $18.00 / $30.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $22.81 / $22.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.52 / $346.52 / $346.52
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $18.57 / $27.25
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $13.98 / $13.98
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $22.81 / $22.81