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Oklahoma rates for HCPCS D0367

cone beam CT capture and interpretation with field of view of both jaws; with or without cranium

Facilitymedian $123 · 10th–90th $120–$4680%50%10th90th$123Professionalmedian $182 · 10th–90th $123–$2240%20%10th90th$182$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $134.90 / $1,071.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $1,071.52 / $1,071.52