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North Dakota rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.93 / $29.93 / $29.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $29.64 / $33.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.66 / $71.37 / $78.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.87 / $32.47 / $41.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $283.32