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Washington rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $19.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $31.62 / $2,570.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $25.70 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $28.84 / $29.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74