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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
$13.77 / $28.14 / $33.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $36.40 / $40.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $39.04 / $69.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $28.14 / $33.64