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Vermont rates for HCPCS D0120

Periodic Oral Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.07 / $13.07 / $13.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $16.93 / $23.41