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New Hampshire 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
$129.83 / $133.13 / $133.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.90 / $139.00 / $182.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.93 / $301.39 / $500.47