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Alaska rates for HCPCS D4341

Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.65 / $150.65 / $150.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.65 / $210.91 / $215.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.10 / $93.10 / $133.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.00 / $310.00 / $310.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.65 / $210.91 / $215.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.10 / $310.00 / $2,250,000.00