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Massachusetts rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.70 / $61.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $109.65 / $158.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $60.26 / $158.49
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $36.31 / $38.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $75.86 / $109.65
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $109.65 / $158.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $63.10 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $44.67 / $64.57