go back

New Hampshire 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 / $28.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $26.21 / $36.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.24 / $55.77 / $106.20