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Maryland rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $249.83 / $268.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.80 / $505.80 / $647.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.86 / $375.21 / $612.20