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HCPCS D4921

Gingival irrigation per quad

Reported by 294 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$50

Average

$184

Median

$170

High

$678

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$166$166$166$166—
2Spalding At PslDenver, CO$203$212$209$212$4
3Hca Healthone Central Park ErDENVER, CO$203$212$209$212$4
4Hca Healthone South Parker ErPARKER, CO$203$212$209$212$4
5Hca Healthone Belmar ErLAKEWOOD, CO$203$212$209$212$4
6Hca Healthone Presbyterian St LukesDenver, CO$203$212$209$212$4
7Hca Healthone RoseDenver, CO$203$212$209$212$4
8Hca Healthone Southwest ErLITTLETON, CO$203$212$209$212$4
9Centennial Hospital A Campus Of TmcaENGLEWOOD, CO$203$212$209$212$4
10Hca Healthone SwedishEnglewood, CO$203$212$209$212$4
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Look up this code directly

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