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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
$23.19 / $23.19 / $23.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $23.19 / $34.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $104.55 / $123.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $49.00 / $58.00