go back

Oklahoma rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $14.41 / $19.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $23.00 / $23.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.24 / $15.13 / $26.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.72 / $26.68 / $108.59