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Georgia rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.14 / $236.14 / $236.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.24 / $236.14 / $261.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.58 / $377.00 / $562.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.16 / $299.16 / $344.03