go back

Oregon rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $28 · 10th–90th $16–$340%20%40%10th90th$28Professionalmedian $16 · 10th–90th $13–$330%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

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 / $15.85 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $36.31 / $43.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.89 / $33.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $25.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $33.88 / $33.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $20.42 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $60.26 / $79.43