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Idaho rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.94 / $264.85 / $326.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.89 / $314.89 / $417.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00