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Maryland rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.22 / $23.07 / $33.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.50 / $45.00 / $71.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.27 / $28.82 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $33.00 / $102.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00