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Kansas rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $21.45 / $21.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $16.38 / $21.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $39.29 / $39.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.24 / $17.55 / $25.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $108.59 / $108.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $46.00