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Missouri rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $30 · 10th–90th $22–$620%10%10th90th$30Professionalmedian $26 · 10th–90th $20–$490%10%20%10th90th$26$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $33.11 / $52.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $52.48 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $61.66
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $281.84 / $281.84