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Pennsylvania 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
$18.61 / $21.25 / $17,967.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $20.32 / $22.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $19.39 / $19.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.25 / $21.25 / $17,967.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $20.16 / $22.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $32.50 / $32.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72