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Georgia 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
$368.62 / $368.62 / $368.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $368.62 / $500.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.39 / $676.41 / $885.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.47 / $385.47 / $763.71