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Montana rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $24 · 10th–90th $15–$330%20%10th90th$24Professionalmedian $17 · 10th–90th $13–$300%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $81,283.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $20.42 / $34.67
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $79.43