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  4. /CPT D0381
CPT D0381

Cone beam ct capt mandible at IHC Health Services Inc., DBA Intermountain Health LDS Hospital

Salt Lake City, UT

Pricing by billing methodology

Price type

All methodologies

$105

Aggregated across all available billing methodologies for this code.

Case rate

$105

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

Not reported

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

Not reported

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Aug 5, 2026

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