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North Dakota 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
$63.78 / $63.78 / $63.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $53.86 / $63.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $120.97 / $133.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.86 / $72.12 / $93.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.45 / $367.45 / $367.45