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Illinois rates for HCPCS D4260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.50 / $289.50 / $289.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.50 / $331.93 / $500.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.52 / $8,448.24 / $10,914.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.89 / $534.89 / $545.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $1,575.75 / $1,994.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $2,500.00