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Missouri 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
$188.34 / $232.68 / $232.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.91 / $194.23 / $232.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $164.57 / $234.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.77 / $271.02 / $565.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.36 / $1,066.36 / $1,066.36