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Wisconsin rates for HCPCS D4341

Prdontal Scaling&Root Planing 4/More Teeth-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.30 / $85.30 / $85.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.30 / $99.53 / $129.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $211.28 / $431.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.30 / $103.43 / $214.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.78 / $71.78 / $71.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.30 / $103.43 / $214.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $677.88 / $677.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $346.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.30 / $103.43 / $214.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.78 / $71.78 / $71.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.27 / $266.61 / $383.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.80 / $1,281.80 / $1,281.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.69 / $485.35 / $677.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.35 / $190.96 / $207.94