go back

Michigan rates for HCPCS D0367

Cone Beam Ct Capture & Interp Fd View Both Jaws

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.71 / $174.71 / $174.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.87 / $174.71 / $224.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.71 / $174.71 / $174.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.07 / $174.71 / $224.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00