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Kentucky rates for HCPCS D4260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.55 / $341.55 / $448.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.06 / $341.55 / $477.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.88 / $772.80 / $912.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00