go back

Michigan 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
$173.78 / $173.78 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $223.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $173.78 / $223.87