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Oklahoma 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
$316.45 / $316.45 / $316.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.45 / $320.18 / $341.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.00 / $523.00 / $523.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.45 / $336.19 / $671.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.61 / $583.80 / $2,436.69