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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
$69.18 / $97.72 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $138.04 / $186.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $251.19 / $398.11