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Maryland rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $22.92 / $34.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $69.00 / $110.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.27 / $28.82 / $46.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $36.00 / $123.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00