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Nebraska rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $18.55 / $18.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $26.94 / $68.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.87 / $299.57 / $299.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $61.97 / $61.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $31.55 / $70.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.45 / $283.32 / $283.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.39 / $43.24 / $75.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $49.45 / $74.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $31.20 / $49.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $45.00 / $63.00