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Maine rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $47.12 / $47.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $34.81 / $47.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.20 / $57.41 / $71.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $58.93 / $106.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.64 / $41.63 / $47.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $74.00 / $80.00