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Missouri 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
$22.91 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.50 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $41.69 / $41.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $28.18 / $63.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84