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Oregon rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.31 / $17.38 / $20.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.01 / $36.13 / $44.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $23.05 / $41.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.21 / $17,150.38 / $32,834.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.42 / $33.52 / $34.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.94 / $23.81 / $42.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $2,250,000.00 / $2,400,000.00