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Indiana rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Facilitymedian $724 · 10th–90th $1$9770%20%40%10th90th$724Professionalmedian $1 · 10th–90th $1$20%50%90th$1$0.0$0.2$2.0$20.0$200.0

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
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $724.44 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50