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Alabama rates for HCPCS D4260

Osseous Surg 4/> Contig/Tooth Bound Spaces-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.50 / $443.50 / $443.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.16 / $443.50 / $500.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.18 / $1,825.39 / $2,455.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.00 / $676.00 / $676.00