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Utah rates for HCPCS D0180

Comp Periodontal Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.58 / $30.58 / $30.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $26.40 / $34.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00