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West Virginia rates for HCPCS D0120

Periodic Oral Evaluation - Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.32 / $11.32 / $11.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $15.07 / $18.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $19.22 / $19.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $60.00