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Arizona rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $26.92 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $57.54 / $85.11