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New York rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $21.02 / $79.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $24.47 / $41.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $35.77 / $67.56
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.99 / $74.98 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $45.00 / $72.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.39 / $25.39 / $25.39
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.30 / $57.05 / $57.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $33.83 / $51.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.97 / $50.37 / $82.86
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.59 / $23.59 / $23.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $57.05 / $57.05