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Nevada rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $16.14 / $19.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $17.64 / $28.75
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $350.00 / $425.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.41 / $142.41 / $142.41