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Enter the procedure code and the provider's fee schedule id (fsid). Aetna fee schedule, effective 02/01/2024. 72080 $76. 09 73565 $87. 80 97802 $72. 89 72100 $39. 96 73590 $68. 40 97803 $63. 25 72110 $55. 81 73600 $69. 83 97804 $33. 76.
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For fee schedule/allowable rate information, please register with availity® and then go to fee schedules on the availity reference center website. Only medical doctors (mds) or. Company may periodically update this fee schedule. This aetna dental® preferred provider organization (ppo) benefits summary is provided by aetna life insurance company for some of the more frequently performed dental procedures.
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Proprietary not for general distribution 1 aetna better health of louisiana proprietary fee schedule 2/3/19 hcpcs When submitting claims, use the most applicable code as of the effective date. Unlisted or unspecified codes should be avoided. Each plan defines covered services, exclusions, dollar.
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