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Utah rates for HCPCS D0274

Bitewings - Four Radiographic Images

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $21.88 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.67 / $34.67
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $34.67