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Massachusetts 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
$28.15 / $28.15 / $28.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $21.94 / $28.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $885.11 / $1,722.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $50.34 / $283.32
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $21.81 / $39.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $60.45 / $80.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $885.11 / $885.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32