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Alaska rates for HCPCS D4260

Osseous Surgery (Including Elevation Of A Full Thickness Flap And Closure) - Four Or More Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $540.24 / $540.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.69 / $540.24 / $756.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.50 / $465.50 / $665.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.00 / $1,377.00 / $1,518.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $540.24 / $756.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $1,377.00 / $2,250,000.00