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Utah rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $67.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $43.65 / $43.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $33.88 / $35.48