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Washington, DC rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.89 / $19.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $32.00 / $42.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $20.12 / $37.65