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Louisiana 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
$16.94 / $19.10 / $23.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $19.69 / $23.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $31.84 / $32.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72