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Idaho 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
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $309.03 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $269.15 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $851.14 / $8,317.64