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Hawaii rates for HCPCS D4355

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $58.61 / $73.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00