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Missouri 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
$104.46 / $128.49 / $128.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.19 / $104.46 / $128.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.90 / $116.50 / $157.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.89 / $106.89 / $106.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.74 / $134.91 / $293.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $677.88 / $677.88