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Montana 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
$18.28 / $20.32 / $28.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $22.61 / $34.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.32 / $33.49 / $2,400,000.00