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Utah 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
$89.28 / $89.28 / $89.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $126.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $190.99