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Alaska rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $34 · 10th–90th $21$630%10%10th90th$34Professionalmedian $25 · 10th–90th $20$340%20%10th90th$25$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $33.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $33.88 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $41.69
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $125.89 / $128.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $33.88 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $41.69 / $79.43