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Idaho rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.03 / $17.38 / $20.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $19.22 / $19.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $17.79 / $26.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $51.99 / $51.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00