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California 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
$100.29 / $107.06 / $107.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.17 / $100.29 / $107.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $119.38 / $139.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.40 / $139.00 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.57 / $1,281.80 / $1,281.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $677.88 / $958.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.29 / $138.74 / $192.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.33 / $117.38 / $2,400,000.00