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Montana rates for HCPCS D4341

Periodontal Scaling And Root Planing - Four Or More Teeth Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.29 / $100.29 / $104.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.14 / $170.14 / $170.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $156.75 / $226.10