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Washington rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $66.07
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $37.15 / $64.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $35.48 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $47.86 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $74.13