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Utah rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $28 · 10th–90th $28–$280%50%100%$28Professionalmedian $28 · 10th–90th $20–$450%10%20%10th90th$28$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $54.95
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $46.77
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $33.88 / $35.48