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Indiana rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $24.55 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $109.65 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $53.70 / $72.44