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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
$39.22 / $39.22 / $39.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $28.57 / $57.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.05 / $104.65 / $123.58
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.57 / $69.06 / $159.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $38.67 / $42.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $91.14 / $120.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $123.58 / $123.58
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.61 / $159.61 / $159.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $65.00