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Vermont 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
$48.27 / $48.27 / $48.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $48.27 / $90.99