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Maryland 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
Professional
Modifier
Low / Median / High Price
$317.06 / $335.03 / $412.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.50 / $635.50 / $813.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.96 / $485.10 / $955.68