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Nationwide rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Facilitymedian $851 · 10th–90th $115$2,3440%20%10th90th$851Professionalmedian $30 · 10th–90th $1$3470%20%10th90th$30$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $724.44 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $1.00 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50,118.72 / $53,703.18