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California 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

Facilitymedian $339 · 10th–90th $251–$1,6980%10%10th90th$339Professionalmedian $263 · 10th–90th $204–$5250%20%10th90th$263$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $251.19 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $323.59 / $380.19
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $398.11 / $398.11
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $2,398.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $501.19
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $288.40 / $436.52