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Louisiana 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
$398.94 / $449.97 / $537.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.51 / $449.97 / $537.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.62 / $711.85 / $726.09