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Alaska rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $21 · 10th–90th $15$350%10%10th90th$21Professionalmedian $16 · 10th–90th $13$250%20%10th90th$16$10.0$50.0$200.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $25.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $27.54
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $77.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $79.43