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Minnesota rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $18 · 10th–90th $14–$5890%20%10th90th$18Professionalmedian $79 · 10th–90th $15–$790%20%40%10th$79$10.0$50.0$200.0$1.0K$5.0K

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
$12.88 / $15.85 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $245.47 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $79.43 / $79.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.20 / $30.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65