go back

Wisconsin rates for HCPCS D0250

extra-oral - 2D projection radiographic image created using a stationary radiation source, and detector

Facilitymedian $23 · 10th–90th $18–$2,1380%20%10th90th$23Professionalmedian $22 · 10th–90th $17–$620%20%10th90th$22$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $39.81 / $79.43
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $34.67 / $2,454.71
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $57.54 / $83.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $891.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $281.84 / $281.84