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Massachusetts rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.69 / $348.69 / $348.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.35 / $348.69 / $610.83
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.69 / $697.45 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.95 / $708.00 / $1,712.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.56 / $373.56 / $439.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.82 / $768.09 / $905.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.69 / $502.69 / $1,492.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.50 / $1,712.50 / $1,712.50