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Colorado rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $15.10 / $15.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $15.39 / $21.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $17.50 / $17.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.50 / $27.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $19.22 / $19.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $18.12 / $25.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00