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Ohio rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.12 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $131.83 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $100.00
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $52.48 / $85.11