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Tennessee 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
$87.04 / $134.91 / $134.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.04 / $137.05 / $191.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.51 / $1,093.11 / $1,093.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.82 / $1,066.36 / $1,723.73