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Minnesota rates for HCPCS D0367

Cone Beam Ct Capture & Interp Fd View Both Jaws

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.23 / $209.23 / $209.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.30 / $191.81 / $224.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.96 / $406.50 / $753.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.52 / $720.75 / $743.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.84 / $135.84 / $135.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.80 / $276.16 / $431.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.36 / $1,066.36 / $1,066.36