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New Hampshire 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
Professional
Modifier
Low / Median / High Price
$300.10 / $649.54 / $665.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.52 / $709.86 / $909.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.72 / $1,314.16 / $2,344.88