go back

Louisiana rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.92 / $25.92 / $26.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $29.23 / $34.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $42.47 / $43.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $48.00