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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
$19.95 / $19.95 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $36.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $30.90 / $53.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.99 / $41.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $53.70 / $53.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $30.90 / $51.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $41.69 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $51.29 / $89.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $64.57