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Pennsylvania rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $14 · 10th–90th $14–$8510%50%90th$14Professionalmedian $16 · 10th–90th $13–$330%20%10th90th$16$1.0$10.0$100.0$1.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $33.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $17.78 / $17.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $851.14 / $954.99
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $20.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $50.12