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South Dakota rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $26 · 10th–90th $23–$500%20%40%10th90th$26Professionalmedian $23 · 10th–90th $20–$720%20%10th90th$23$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $72.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $35.48 / $53.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $281.84 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $48.98 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $69.18
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61