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Kansas 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
$68.19 / $68.19 / $68.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.08 / $52.38 / $68.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.34 / $146.34 / $146.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $61.28 / $89.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.45 / $367.45 / $367.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $142.00 / $179.00