go back

Massachusetts rates for HCPCS D0330

Panoramic Radiographic Image

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.95 / $68.95 / $68.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $53.50 / $113.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.38 / $207.48 / $233.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $114.73 / $262.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $44.34 / $63.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $148.03 / $196.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.38 / $207.48 / $207.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.88 / $262.88 / $262.88