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Indiana rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $44 · 10th–90th $17–$4790%20%40%10th90th$44Professionalmedian $26 · 10th–90th $18–$1100%10%20%10th90th$26$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $109.65 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $53.70 / $72.44