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California rates for HCPCS D4261

Osseous Surg 1-3 Contig/Tooth Bound Spaces-Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.10 / $287.20 / $287.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.17 / $247.31 / $287.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.11 / $321.77 / $377.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.80 / $344.00 / $823.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.34 / $1,492.08 / $1,492.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.50 / $1,712.50 / $2,372.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.56 / $349.02 / $481.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.70 / $290.85 / $2,400,000.00