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Montana 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
$123.03 / $169.82 / $223.87
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $363.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $363.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $186.21 / $346.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $147.91 / $398.11