go back

California rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $34.67 / $104.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.02 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $398.11 / $831.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $25.12 / $37.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $35.48 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $43.65 / $61.66