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Michigan rates for HCPCS D0274

Bitewings - Four Radiographic Images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $20.74 / $20.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $20.74 / $22.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $25.17 / $26.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $20.74 / $20.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.30 / $20.74 / $23.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $59.70 / $100.00