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Louisiana 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
$129.80 / $146.40 / $177.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.14 / $146.40 / $186.54