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South Carolina 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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $2,344.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $117.49 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $54.95 / $54.95