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South Carolina rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Facilitymedian $347 · 10th–90th $224–$6610%10%20%10th90th$347Professionalmedian $30 · 10th–90th $30–$300%50%$30$50.0$100.0$200.0$500.0

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
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $346.74 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20