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Wisconsin rates for HCPCS D0180

Comp Periodontal Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $19.09 / $19.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $22.36 / $34.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $54.79 / $113.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.89 / $36.89 / $36.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $26.42 / $48.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $22.47 / $22.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $27.12 / $48.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.71 / $167.71 / $167.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $121.06
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.09 / $26.40 / $45.84
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $22.47 / $22.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $57.58 / $80.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.88 / $72.65 / $123.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.67 / $154.75 / $167.71