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Illinois rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.38 / $348.33 / $428.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00