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Nebraska 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
$82.35 / $82.35 / $82.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.35 / $82.35 / $82.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.95 / $2,768.73 / $5,197.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $193.16 / $193.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.35 / $140.00 / $234.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $677.88 / $677.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.52 / $164.00 / $253.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.29 / $172.23 / $253.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.69 / $157.69 / $157.69