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Texas rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $22.10 / $22.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $23.19 / $32.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.63 / $36.04 / $36.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $123.58 / $123.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.61 / $159.61 / $199.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.76 / $29.88 / $47.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $23.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $29.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.76 / $29.88 / $47.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $47.00 / $48.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $57.40