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Mississippi rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.86 / $159.86 / $279.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.86 / $253.75 / $279.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.50 / $1,102.50 / $1,212.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.00 / $1,050.00 / $1,050.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $42.50 / $50.00