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Ohio rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $13.24 / $51.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $13.24 / $18.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $24.84 / $44.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,659.72 / $12,659.72 / $15,808.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00