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Minnesota rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.87 / $23.87 / $23.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $23.87 / $34.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $304.88 / $3,041.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.22 / $117.88 / $121.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $24.32 / $33.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.86 / $40.34 / $49.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $283.32 / $283.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00