by Aetna Health Inc., Aetna Health of California Inc. and/or Aetna Life Insurance Company (Aetna). This is a brief description of the features of these Aetna health Please see the HSA fee schedule in your HSA enrollment materials for more information. This material is for informational PDF/UA Created Date: 12/14/2018 3:25:37 PM Primary Fee Schedule Fee Schedule Medicare Year Medicaid Year Custom Fee Schedule Carve- outs Miscellaneous Codes Aetna Yes, 100% of NY 12/2010 All servicesCommercial, Medicare otherwise - - - - - - Aetna National FS(DME); Clover Health NJ 5/2018 Medicare 90% - Medicare - Prevailing - No No - Clover Health AL, TX, GA, PA, SC, AZ, Enjoy the benefits Aetna Dental® PPO network 43.02.800.1 G (12/18) joinaetnadentalnetwork.com fee schedule - aetna.com best aetna.com. fee schedule how to access your fee schedule in accordance with the regulations issued pursuant to the claims settlement practices and dispute mechanism act of 2000 (ca ab1455 for hmo) and to the expansion of the health care providers bill of rights (under ca sb 634 for indemnity and ppo products), … You that ppo schedule they adjust your assurant ppo fee schedule a claim in both assurant dental office? Draws the user interface. Aetna PPO 66-52-9629 Assurant Employee Benefit 16-474-2345. Be caution. The Anesthesia Base Rate is $15.20. the updated Anesthesia fee schedule available on the Louisiana Medicaid website. Facility Reimbursement Additional reimbursement of at least $400.00 per procedure. Hospital Providers To receive the additional reimbursement, CPT code 41899 must be used.