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New Jersey 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
$264.81 / $264.81 / $264.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.81 / $355.51 / $500.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,180.88 / $14,382.16 / $31,187.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.73 / $482.04 / $496.39