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Maryland 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
Professional
Modifier
Low / Median / High Price
$123.80 / $173.06 / $224.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $285.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.78 / $255.17 / $321.80