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Arizona rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $20.47 / $20.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $23.41 / $34.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $44.00 / $51.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $36.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.47 / $30.09 / $45.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.71 / $167.71 / $167.71