Cigna charge schedule
WebThis Patient Charge Schedule applies only when covered alveolar services are performed by your Network Dentist, unless differently authorized by Cigna Dental. These codes … WebThe information, tools, and resources you need to support the day-to-day needs of your office
Cigna charge schedule
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WebCIGNA Dental Care® Patient Charge Schedule (DC-07) Code Procedure Description Patient Coinsurance Restorative (Fillings) D2140 Amalgam – 1 Surface, Primary or … WebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (B1I09) 92249.a - 5 - Patient Charge Code Procedure Description Preventive resin restoration in a moderate to high caries risk $0.00 patient – Permanent tooth D1352 D1353 Sealant repair – Per tooth $0.00 D1354 Interim caries arresting medicament application $0.00
WebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (W1-09) 92249.a - 4 - Patient Charge Code Procedure Description Additional prophylaxis (cleaning) – In addition to the 2 $30.00 prophylaxes (cleanings) allowed per calendar year Topical application of fluoride varnish (limit 2 per calendar year). $0.00 WebCigna Fee Schedule. We expect all accredited Cigna providers to abide by The Cigna Fee Schedule, the schedule contains fair and reasonable maximum fees for Surgery and Anaesthesia, as well as guideline fees for Initial and Follow up consultations. These fees are based on complexity, average duration of the procedure, information from our claims ...
WebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (Q5ZV0) 92260.a - 5 - Patient Charge Code Procedure Description Preventive resin restoration in a moderate to high caries risk 0% patient – Permanent tooth D1352 D1353 Sealant repair – Per tooth 0% D1354 Interim caries arresting medicament application 0%
WebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (B1-09) 92249.a - 7 - Patient Charge Code Procedure Description D2941 Interim therapeutic restoration - Primary dentition $13.00 D2950 Core buildup – Including any pins $44.00 D2951 Pin retention – Per tooth – In addition to restoration $13.00
Web› Procedures listed on the Patient Charge Schedule are subject to the plan limitations and exclusions described in your plan book/certificate of coverage and/or group contract. › All patient charges correspond to the Patient Charge Schedule in effect on the date the procedure is initiated. 92260.a - 2 - CIGNA DENTAL CARE PATIENT CHARGE ... philippe tandartWebcigna dental care® patient cHarge scHedule Code Procedure Description Patient Charge D0180 Comprehensive periodontal evaluation – New or established patient $70.00 D0210 X-rays intraoral – Complete series of radiographic images (limit 1 every 3 years) $0.00 D0220 X-rays intraoral – Periapical – First radiographic image $0.00 philippe straehlWebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (P5X00) 92256.a - 5 - Patient Charge Code Procedure Description Preventive resin restoration in a moderate to high caries risk $10.00 patient – Permanent tooth D1352 D1353 Sealant repair – Per tooth $7.00 D1354 Interim caries arresting medicament application $0.00 philippe tachonWebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (K1-09) 92249.a - 4 - Patient Charge Code Procedure Description Additional prophylaxis (cleaning) – In addition to the 2 $30.00 prophylaxes (cleanings) allowed per calendar year Topical application of fluoride varnish (limit 2 per calendar year). $0.00 philippe tack avocatWebCigna Dental Care Patient Charge Schedule 1-06-2-w Code Procedure Description Patient Charge Diagnostic/Preventive D9310 Consultation (normally not the same dentist who provides the treatment) $0.00 D9430 Office Visit for Observation – No Other Services Performed $0.00 D9450 Case Presentation, Detailed and Extensive Treatment Planning … trulia wake county ncWebPatient Charge Schedule Request. Use this form to request a CIGNA Dental Care patient charge schedule. Patient Charge Schedules are available to CIGNA Dental Care members only. If you have PPO or Traditional Indemnity coverage, please contact your employee relations office or your provider to obtain a benefit schedule. *Indicates required field. philippe stopinWebcigna dental care® patient cHarge scHedule Code Procedure Description Patient Charge D0170 Reevaluation – Limited, problem focused (not postoperative visit) $0.00 D0180 … philippe strohm