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South Dakota rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.90 / $14.90 / $14.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $24.40 / $28.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.03 / $283.32 / $283.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.13 / $25.60 / $33.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.13 / $25.15 / $36.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $30.10 / $30.10