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Virginia 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
$21.92 / $21.92 / $22.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $21.92 / $22.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $20.00 / $27.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $20.70 / $26.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $28.03 / $34.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $23.24 / $40.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $42.00 / $57.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $21.46 / $39.72
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $24.49 / $45.53