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Washington, DC 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
Facility
Modifier
Low / Median / High Price
$322.57 / $322.57 / $322.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.57 / $322.57 / $322.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.50 / $635.50 / $692.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.96 / $811.25 / $811.25