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Nevada 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
$56.49 / $56.49 / $56.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $52.72 / $68.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.56 / $60.56 / $92.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $350.00 / $425.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.51 / $1,837.51 / $1,837.51