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New Hampshire rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.69 / $357.27 / $357.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.06 / $377.00 / $487.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.82 / $809.03 / $1,343.40