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Florida 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
$181.97 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $295.12
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $70.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19