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New Mexico 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
$86.09 / $86.09 / $86.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.19 / $95.55 / $100.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $87.58 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.14 / $103.85 / $130.15