go back

Arizona rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $20.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $26.04 / $32.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.73 / $23.73 / $32.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $27.91 / $44.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.61 / $159.61 / $159.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $58.00 / $85.00