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Illinois rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $23.07 / $31.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.31 / $184.31 / $249.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $35.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $115.41 / $134.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $60.00 / $106.00