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Montana rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $29.50 / $34.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $35.63 / $54.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.64 / $40.98 / $2,400,000.00