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Vermont rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Facilitymedian $13 · 10th–90th $13–$130%50%100%$13Professionalmedian $15 · 10th–90th $12–$240%10%10th90th$15$10.0$20.0$50.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $23.99