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Washington, DC 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
$249.83 / $249.83 / $249.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.83 / $249.83 / $249.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.80 / $505.80 / $551.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.04 / $629.61 / $629.61