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Illinois rates for HCPCS D0250

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.28 / $18.28 / $18.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $20.18 / $25.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.55 / $125.93 / $162.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $21.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $74.55 / $78.19
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00