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North Carolina 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
$381.99 / $381.99 / $381.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.57 / $381.99 / $509.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,279.10 / $5,279.10 / $5,356.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.89 / $714.13 / $1,126.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.99 / $448.14 / $766.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.04 / $435.04 / $458.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.60 / $465.60 / $722.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.00 / $737.00 / $813.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.58 / $16,547.20 / $16,547.20
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.69 / $3,067.50 / $3,067.50