go back

New York 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
$54.28 / $69.77 / $3,282.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $80.14 / $133.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.32 / $114.75 / $212.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.00 / $2,071.00 / $6,213.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $184.81 / $184.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $45.00 / $70.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.97 / $106.97 / $106.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $184.81 / $184.81