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Alabama rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $16.44 / $19.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.99 / $153.40 / $166.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $39.00 / $54.81