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Pennsylvania rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $1,458.78 / $1,458.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $22.85 / $34.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.52 / $31.67 / $31.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.82 / $21.82 / $1,458.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.55 / $22.86 / $36.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.20 / $31.20 / $31.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $61.00 / $85.00