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New York 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
$263.03 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $891.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $50,118.72 / $53,703.18
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $977.24 / $977.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $323.59 / $851.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $338.84 / $338.84
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $977.24 / $977.24