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Michigan rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $24.35 / $32.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $32.29 / $34.74
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $23.11 / $33.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $75.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $58.00 / $71.00