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Arizona rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $20.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $24.97 / $31.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $24.32 / $33.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $28.88 / $44.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $60.00 / $85.00