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Minnesota rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.87 / $23.87 / $23.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $23.88 / $33.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $304.88 / $3,041.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $99.48 / $102.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.73 / $23.73 / $32.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.86 / $39.04 / $49.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.11 / $159.61 / $159.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $74.00 / $74.00