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Arkansas rates for HCPCS D4355

Full Mouth Debridement To Enable A Comprehensive Periodontal Evaluation And Diagnosis On A Subsequent Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.04 / $64.04 / $64.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $61.07 / $68.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31