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Washington 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
$28.58 / $28.58 / $28.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $22.23 / $28.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.60 / $885.11 / $885.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $209.93 / $283.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.88 / $42.33 / $4,686.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.53 / $37.04 / $52.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $48.14 / $48.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.09 / $88.09 / $88.09