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Mississippi rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $10.36 / $10.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $16.44 / $19.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.93 / $188.93 / $188.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $36.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $42.50 / $68.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $50.00 / $52.00