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Washington rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $67.61
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $39.81 / $75.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $36.31 / $58.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $47.86 / $48.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $75.86