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Minnesota 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
$345.27 / $345.27 / $345.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.18 / $345.27 / $509.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,475.00 / $10,188.53 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.09 / $2,068.34 / $2,132.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.27 / $609.39 / $708.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.68 / $2,436.69 / $2,436.69