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Oregon rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Insurance Carrier
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,910.16 / $18,772.80 / $32,862.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.73 / $591.00 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644,131.36 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,250,000.00 / $2,400,000.00