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Arizona 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
$232.17 / $246.02 / $326.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.80 / $410.40 / $513.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.21 / $289.62 / $502.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.50 / $1,712.50 / $1,712.50