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Rhode Island rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $302 · 10th–90th $275$3980%20%10th90th$302Professionalmedian $15 · 10th–90th $12$240%20%10th90th$15$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $302.00 / $398.11