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Oklahoma 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
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $234.42 / $501.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $426.58 / $1,698.24