go back

Washington rates for HCPCS D0140

Limited Oral Evaluation - Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.75 / $32.75 / $32.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $28.57 / $33.58
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $123.58 / $123.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $159.61 / $205.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.76 / $57.06 / $96.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.35 / $48.87 / $71.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $47.95 / $48.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $71.06 / $71.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.00 / $59.00 / $61.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00