go back

Massachusetts rates for HCPCS D4341

Prdontal Scaling&Root Planing 4/More Teeth-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.83 / $129.83 / $129.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $129.83 / $227.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.32 / $338.53 / $2,168.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.56 / $240.40 / $677.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.80 / $150.80 / $177.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.93 / $286.14 / $337.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.80 / $202.80 / $1,281.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $677.88 / $677.88