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Indiana rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $44.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $22.39 / $29.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $109.00 / $147.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $35.72 / $35.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $61.00 / $73.00