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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
$123.80 / $154.34 / $201.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.34 / $171.51 / $224.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.49 / $222.75 / $2,400,000.00