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Pennsylvania rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Facilitymedian $8,511 · 10th–90th $5,012–$77,6250%20%10th90th$8,511Professionalmedian $64,565 · 10th–90th $64,565–$64,5650%50%$64,565$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60