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Pennsylvania rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.87 / $1,860.59 / $7,180.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $13.24 / $16.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $14.81 / $14.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.67 / $27.67 / $27.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.82 / $1,860.59 / $14,360.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $13.24 / $16.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $21.00 / $23.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39