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Iowa rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.60 / $257.06 / $257.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $836.55 / $1,072.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.18 / $406.11 / $835.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.77 / $513.79 / $1,712.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.22 / $406.11 / $617.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.31 / $435.55 / $643.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.70 / $249.70 / $249.70
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.00 / $705.00 / $705.00