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Mississippi 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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $58.88