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Alaska rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $29.34 / $39.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.96 / $39.35 / $55.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.92 / $42.60 / $45.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,495.87 / $3,495.87 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $135.00 / $154.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.37 / $39.35 / $55.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $135.00 / $2,400,000.00