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New Jersey rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.07 / $17.07 / $753.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $16.53 / $19.46
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.20 / $313.30 / $636.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $18.19 / $18.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $37.00 / $60.00