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Texas rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $19 · 10th–90th $14–$340%20%10th90th$19Professionalmedian $21 · 10th–90th $14–$270%20%10th90th$21$1.0$5.0$20.0$100.0$500.0$2.0K

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
$12.88 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $25.12
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $138.04 / $138.04
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $18.62 / $30.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $30.90 / $30.90
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $18.62 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $27.54 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $64.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $34.67