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Montana rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $26.40 / $34.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.35 / $36.10 / $58.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $42.60 / $2,400,000.00