go back

Maine rates for HCPCS D0180

Comp Periodontal Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.94 / $49.94 / $49.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $49.94 / $49.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.85 / $62.31 / $77.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.18 / $63.84 / $114.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.87 / $46.14 / $49.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $105.00 / $126.00