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Michigan rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $21.35 / $34.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.52 / $36.89 / $38.61
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $21.35 / $21.35
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $21.35 / $32.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $57.00 / $85.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $72.00 / $85.00