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Florida rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $15.27 / $15.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $15.79 / $19.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $19.22 / $19.22
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $19.00 / $30.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.33 / $38.33 / $39.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $157.27