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Iowa rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $17 · 10th–90th $13–$400%20%10th90th$17Professionalmedian $16 · 10th–90th $13–$440%20%10th90th$16$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $34.67
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $66.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $39.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $109.65 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.20 / $47.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $47.86
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.84 / $30.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74