go back

Washington rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.19 / $20.19 / $20.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $14.90 / $20.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.60 / $885.11 / $885.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $127.05 / $283.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $33.51 / $4,686.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $30.25 / $41.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $28.92 / $29.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $40.86 / $40.86