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Indiana rates for HCPCS D0367

Cone Beam Ct Capture & Interp Fd View Both Jaws

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.07 / $144.07 / $144.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.47 / $171.51 / $192.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $158.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $116.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,322.22 / $16,428.50 / $23,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.84 / $135.84 / $135.84