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North Carolina 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
$22.47 / $22.47 / $22.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $22.47 / $22.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $36.17 / $54.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.39 / $20.52 / $35.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $31.00 / $82.69
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $885.11 / $885.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $204.00 / $283.32