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Connecticut rates for HCPCS D0367

cone beam CT capture and interpretation with field of view of both jaws; with or without cranium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.30 / $248.30 / $248.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.30 / $248.30 / $248.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.00 / $300.00 / $337.38