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Oregon rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Insurance Carrier
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $588.84 / $588.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659,586.91 / $1,659,586.91 / $1,659,586.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43