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Texas rates for HCPCS D0274

Bitewings - Four Radiographic Images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $19.80 / $21.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $21.26 / $25.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $24.41 / $24.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $283.32 / $283.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $24.79 / $44.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.58 / $22.58 / $22.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.90 / $32.90 / $32.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.80 / $25.13 / $43.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.94 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $32.00 / $43.20