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Ohio rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $123.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $60.26
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $75.86