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Maine rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.87 / $44.87 / $44.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $30.53 / $44.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $55.31 / $64.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $55.99 / $100.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $33.58 / $44.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $75.00 / $78.00