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Georgia rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.94 / $14.94 / $14.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $15.07 / $19.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $23.48 / $33.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $18.30 / $62.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $28.50 / $28.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $37.00 / $65.00