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Connecticut 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
Facility
Modifier
Low / Median / High Price
$610.83 / $610.83 / $610.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.12 / $610.83 / $610.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $441.60 / $819.82