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Idaho rates for HCPCS D0250

extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $22.23 / $28.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.17 / $61.17 / $70.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $21.94 / $28.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00