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Search results with tag "Cigna dental care"

Cigna Dental Specialty Referral Form

Cigna Dental Specialty Referral Form

static.cigna.com

Connecticut, Inc., and Cigna Dental Health, Inc. and its subsidiaries, and not by Cigna Corporation. Cigna Dental Specialty Referral Form. I understand that only those services which meet Cigna Dental Care referral guidelines will be authorized for payment. Certain procedures may require a patient

  Form, Patients, Care, Referral, Specialty, Dental, Cigna, Cigna dental care, Cigna dental, Cigna dental specialty referral form

CIGNA Dental Care Patient Charge Schedule

CIGNA Dental Care Patient Charge Schedule

dchr.dc.gov

CIGNA Dental Care® Patient Charge Schedule (DC-07) Code Procedure Description Patient Coinsurance Restorative (Fillings) D2140 Amalgam – 1 Surface, Primary or Permanent $13.00 D2150 Amalgam – 2 Surfaces, Primary or Permanent $16.00 D2160 Amalgam – 3 Surfaces, Primary or Permanent $16.00

  Patients, Care, Dental, Cigna, Cigna dental care, Cigna dental care patient

CIGNA DENTAL CARE® (*DHMO) PATIENT CHARGE SCHEDULE

CIGNA DENTAL CARE® (*DHMO) PATIENT CHARGE SCHEDULE

www.cigna.com

-2-CIGA DEA CARE PAIE CHARGE SCHEDE I • This Patient Charge Schedule is subject to annual change in accordance with the terms of the group agreement.

  Care, Dental, Cigna, Cigna dental care

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