go back

Massachusetts rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.63 / $41.63 / $41.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $29.64 / $42.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.18 / $131.99 / $885.11
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $71.48 / $283.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,854.96 / $3,402.22 / $3,564.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $37.00 / $40.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $95.92 / $126.85
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $885.11 / $885.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $59.00 / $83.00