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Ohio 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
$21.94 / $21.94 / $72.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $21.92 / $22.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $32.86 / $60.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,659.72 / $12,659.72 / $15,808.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00