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Maine rates for HCPCS D4260

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.55 / $718.97 / $718.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.52 / $909.43 / $1,058.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.72 / $879.00 / $1,348.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.71 / $718.97 / $718.97