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Kentucky rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $104.71 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $48.98 / $57.54