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Massachusetts 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

Facilitymedian $646 · 10th–90th $646–$3,6310%50%90th$646Professionalmedian $550 · 10th–90th $316–$1,4790%10%10th90th$550$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $645.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $16,982.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $933.25 / $2,454.71
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,148.15 / $1,659.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $724.44 / $16,982.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $933.25 / $2,454.71