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Utah rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $14.11 / $14.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $45.00 / $60.00