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New York 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
$10.98 / $13.77 / $1,452.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $18.55 / $28.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $21.96 / $36.93
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.25 / $30.36 / $30.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $23.20 / $34.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.24 / $23.24 / $23.24
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.24 / $30.36 / $30.36