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Wisconsin rates for HCPCS D0240

Intraoral - Occlusal Radiographic Image

Facilitymedian $15 · 10th–90th $11–$2,1380%10%10th90th$15Professionalmedian $16 · 10th–90th $11–$400%10%10th90th$16$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $51.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $26.92 / $2,454.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.49 / $35.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $50.12
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $891.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $281.84 / $281.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $38.02