go back

New Mexico rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $19 · 10th–90th $14$300%10%10th90th$19Professionalmedian $15 · 10th–90th $13$250%20%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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 / $15.14 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $60.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $18.62 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $60.26