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Arizona rates for HCPCS D0367

Cone Beam Ct Capture & Interp Fd View Both Jaws

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $171.51 / $224.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.40 / $409.60 / $512.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.51 / $214.38 / $1,075.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.36 / $1,066.36 / $1,066.36