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Virginia rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.57 / $18.00 / $18.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $13.57 / $18.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.00 / $24.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.10 / $23.00 / $28.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $16.89 / $20.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.09 / $17.23 / $29.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $27.00 / $34.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $12.83 / $23.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $14.74 / $27.40