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Oklahoma rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.41 / $222.41 / $222.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.41 / $222.41 / $225.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.00 / $272.00 / $272.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.41 / $236.27 / $400.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $430.01 / $1,712.50