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West Virginia rates for HCPCS D0150

Comp Oral Evaluation - New/Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $16.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $22.86 / $29.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $33.83 / $33.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $96.00 / $112.00