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Wisconsin rates for HCPCS D0150

Comprehensive Oral Evaluation - New Or Established Patient

Facilitymedian $28 · 10th–90th $19–$620%10%10th90th$28Professionalmedian $28 · 10th–90th $20–$690%10%20%10th90th$28$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $93.33
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $61.66
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $53.70 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $891.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $281.84 / $281.84
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $57.54 / $213.80