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Texas rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $22.39 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $23.07 / $33.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.63 / $36.04 / $36.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.28 / $283.32 / $283.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.03 / $30.91 / $48.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.09 / $23.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $49.30 / $49.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.03 / $30.93 / $49.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $89.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $44.00 / $61.60