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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
$100.00 / $100.00 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $100.00 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $144.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $346.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $141.25 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $117.49 / $173.78