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Minnesota rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $30 · 10th–90th $19–$8910%10%20%10th90th$30Professionalmedian $115 · 10th–90th $22–$1200%20%40%10th90th$115$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $70.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $245.47 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $120.23 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $29.51 / $47.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11