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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
$144.54 / $144.54 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $223.87