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Alaska rates for HCPCS D4261

Osseous Surgery (Including Elevation Of A Full Thickness Flap And Closure) - One To Three Contiguous Teeth Or Tooth Bounded Spaces Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.78 / $379.78 / $379.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.78 / $531.69 / $543.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.71 / $249.71 / $356.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.00 / $913.00 / $940.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.78 / $531.69 / $543.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.71 / $913.00 / $2,250,000.00