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Indiana 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
$194.98 / $194.98 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $10,232.93 / $13,489.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $234.42