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Indiana 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
$250.00 / $250.00 / $250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $289.50 / $375.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.00 / $673.00 / $1,298.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.00 / $673.00 / $955.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,544.31 / $17,721.72 / $24,521.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.90 / $545.90 / $545.90