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Utah 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
$17.63 / $17.63 / $17.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.63 / $18.61 / $22.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.41 / $45.00 / $60.00