go back

Texas rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $12.33 / $13.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $13.30 / $16.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.45 / $283.32 / $283.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $16.22 / $28.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $13.61 / $13.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $16.47 / $27.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.47 / $2,400,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $28.35