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Maine 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
$12.88 / $20.89 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $38.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.88 / $33.11