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Washington rates for HCPCS D0180

Comprehensive Periodontal Evaluation - New Or Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.84 / $34.84 / $34.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.01 / $29.45 / $37.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $123.58 / $123.58
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.26 / $167.71 / $205.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.01 / $63.14 / $109.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.76 / $55.20 / $78.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $47.95 / $48.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $77.68 / $77.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $83.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00