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Utah rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.28 / $28.28 / $28.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $28.28 / $34.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00