go back

Nebraska rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.95 / $2,768.73 / $5,197.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.40 / $77.40 / $77.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.52 / $97.52 / $97.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.52 / $97.52 / $97.52