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Virginia rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.01 / $34.58 / $34.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.62 / $24.47 / $34.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.10 / $40.10 / $68.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $69.00 / $134.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.06 / $28.82 / $49.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $31.15 / $52.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $46.00 / $57.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.53 / $29.31 / $46.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $29.31 / $46.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $44.00 / $96.37