go back

Tennessee 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
$234.80 / $363.93 / $363.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.80 / $363.93 / $460.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $718.00 / $1,687.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.89 / $534.89 / $534.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.58 / $16,547.20 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.69 / $2,436.69 / $3,067.50