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Michigan rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $22.86 / $33.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.13 / $33.83 / $37.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $22.41 / $34.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.60 / $78.90 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $62.00 / $70.00