go back

Florida 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
$59.35 / $59.35 / $59.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $53.57 / $69.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.39 / $73.31 / $73.31
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $55.78 / $86.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $70.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.83 / $95.83 / $99.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00