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Minnesota rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.38 / $267.38 / $267.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.06 / $267.38 / $267.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,374.53 / $6,432.58 / $12,629.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.25 / $1,679.06 / $1,679.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.15 / $451.87 / $548.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.50 / $1,712.50 / $1,712.50