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California rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.10 / $34.24 / $34.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $28.09 / $36.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $62.31 / $83.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.29 / $49.00 / $106.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $123.58 / $123.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.71 / $167.71 / $199.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.24 / $33.20 / $44.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.34 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $78.00 / $130.00