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Colorado 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
$49.68 / $49.68 / $49.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $51.16 / $73.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.58 / $59.58 / $59.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.58 / $59.58 / $82.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $63.34 / $94.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00