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Washington, DC 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
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $234.42 / $478.63