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Missouri 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
$335.40 / $412.55 / $412.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.20 / $339.35 / $412.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.55 / $533.32 / $731.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.89 / $534.89 / $534.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.40 / $445.87 / $858.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.69 / $2,436.69 / $2,436.69