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New York rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Facilitymedian $19 · 10th–90th $18–$230%50%10th90th$19Professionalmedian $32 · 10th–90th $20–$600%10%10th90th$32$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $19.50 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $32.36 / $38.90
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $39.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $30.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $53.70 / $53.70
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $30.90 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $51.29 / $61.66
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $25.12
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $53.70