Cigna charge schedule
WebThe information, tools, and resources you need to support the day-to-day needs of your office WebThis Patient Charge Schedule applies only when covered alveolar services are performed by your Network Dentist, unless differently authorized by Cigna Dental. These codes …
Cigna charge schedule
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WebCIGNA 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 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 Comparison K1-09 vs. WAO09 Office visit fee (Per patient, per office visit in addition to any other applicable patient charges) Diagnostic/preventive – Oral evaluations are limited to a combined total of 4 of the following evaluations during a 12 Webcigna dental care® patient cHarge scHedule Code Procedure Description Patient Charge D0170 Reevaluation – Limited, problem focused (not postoperative visit) $0.00 D0180 Comprehensive periodontal evaluation – New or established patient $0.00 D0210 X-rays intraoral – Complete series of radiographic images (limit 1 every 3 years) $0.00
WebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (C06V9) 92255.a - 4 - Patient Charge Code Procedure Description Topical application of fluoride varnish (limit 2 per calendar year). $0.00 There is a combined limit of a total of 2 D1206s and/or D1208s per calendar year. D1206 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
Webcigna 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
WebPatient 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 … As part of your Cigna-administered pharmacy benefits, you may have … Page Footer I want to... Get an ID card File a claim View my claims and EOBs … 6 Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services … For safe, secure access to your Cigna account, update your browser for free … The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual … By Size Small Employers (51 - 499) Medium Employers (500 - 2,999) Large … Looking for a new Cigna Medicare Prescription Drug Plan? Call toll free: … By Size Small Employers (51 - 499) Medium Employers (500 - 2,999) Large … Individual & Family Plans Small Businesses (24 - 49) Small to Medium-sized … simplicity pattern 1873Web• Cigna Dental considers infection control and/or sterilization to be incidental to and part of the charges for services provided and not separately chargeable. 92249 856618 02/13 K1I09 K1I09 cigna dental care® (*dHMO) patient cHarge scHedule This Patient Charge Schedule lists the benefits of the Dental Plan including simplicity pattern 2247Webcigna dental care® patient cHarge scHedule Code Procedure Description Patient Charge D0170 Reevaluation – Limited, problem focused (not postoperative visit) $0.00 D0180 … simplicity pattern 2241WebCigna Dental Care ® Patient Charge Schedule (P6XV0)-2-Code Procedure Description Patient Charge. Office Visit Fee (Per patient, per office visit in addition to any other … simplicity pattern 2330WebPatient 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. simplicity pattern 3688WebCigna Dental HMO Patient Charge Schedule. Cigna Dental PPO Benefit Summary. Vision Plan Summary. SmartBenefits Enrollment Application & Change Form. Temporary Continuation of Coverage Benefits Enrollment Form. Health Insurance for Employees Hired Before October 1, 1987. Health Insurance Premiums for Employees Hired on or After … raymond code fhWebCIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (L1-09 TX) - 4 - Patient Charge Code Procedure Description D1120 Prophylaxis (cleaning) – Child (limit 2 per calendar … raymond code 81