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Maine rates for HCPCS D4341

Prdontal Scaling&Root Planing 4/More Teeth-Quad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.29 / $160.69 / $160.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.90 / $182.03 / $222.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.93 / $175.78 / $269.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.29 / $160.69 / $160.69