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Tennessee 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
$12.35 / $19.14 / $19.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $19.14 / $21.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $91.65 / $91.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $20.72 / $20.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $283.32 / $283.32