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Pennsylvania rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.92 / $1,780.95 / $4,963.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $23.58 / $34.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $30.88 / $30.88
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
$69.98 / $69.98 / $69.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.13 / $72.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.14 / $1,355.14 / $7,959.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.02 / $2,239.73 / $2,776.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $26.97 / $37.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $49.30 / $49.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $47.00 / $71.00