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Massachusetts 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

Facilitymedian $347 · 10th–90th $347–$1,9950%50%90th$347Professionalmedian $347 · 10th–90th $224–$8130%10%10th90th$347$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $251.19 / $346.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $691.83 / $1,698.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $707.95 / $1,698.24
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $436.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $602.56 / $891.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $691.83 / $1,698.24
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $707.95 / $1,698.24