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Kentucky 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
$264.52 / $264.52 / $264.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $264.52 / $264.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.20 / $672.00 / $672.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00