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Idaho 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
$371.32 / $421.31 / $509.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.32 / $438.65 / $642.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,495.52 / $4,495.52 / $4,903.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00