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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.47 / $268.47 / $268.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $268.47 / $268.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.82 / $420.63 / $662.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.42 / $268.47 / $456.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.45 / $233.45 / $233.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.70 / $249.70 / $249.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.00 / $536.00 / $640.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.34 / $1,492.08 / $1,492.08
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.50 / $1,712.50 / $2,372.17