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Ohio 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
$336.55 / $336.55 / $1,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.02 / $336.55 / $500.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.00 / $786.24 / $1,150.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,958.00 / $13,958.00 / $16,710.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.89 / $534.89 / $534.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00