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New Mexico rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $22.47 / $31.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $41.40 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $30.51 / $38.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00