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Indiana rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.12 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $41.69 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $28.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.71 / $77.62