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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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $43.65 / $79.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $69.18 / $93.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $26.92 / $48.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $31.62 / $53.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $30.20 / $53.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $83.18