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Indiana 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
$77.90 / $77.90 / $77.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.90 / $90.10 / $106.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $135.00 / $260.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $191.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,649.61 / $16,774.95 / $23,574.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.07 / $109.07 / $109.07