go back

Nebraska 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
$264.20 / $264.20 / $264.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.20 / $264.20 / $436.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.96 / $3,188.87 / $5,515.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.08 / $804.28 / $804.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.20 / $449.16 / $1,156.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.68 / $2,436.69 / $2,436.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.88 / $752.31 / $5,251.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.99 / $748.68 / $1,130.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.70 / $722.70 / $722.70