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Arizona rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Facilitymedian $28 · 10th–90th $20–$450%10%10th90th$28Professionalmedian $25 · 10th–90th $20–$630%20%10th90th$25$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49