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North Carolina 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 $269 · 10th–90th $234–$4470%20%10th90th$269Professionalmedian $269 · 10th–90th $224–$5010%20%10th90th$269$200.0$500.0$1.0K$2.0K

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
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $398.11 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $537.03 / $645.65
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $2,398.83