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Arkansas rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.42 / $17.42 / $55.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $17.42 / $19.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $19.22 / $19.22