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Utah rates for HCPCS D4260

Osseous Surg 4/> Contig/Tooth Bound Spaces-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.09 / $446.09 / $446.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.35 / $446.09 / $460.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $780.01