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Oregon rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.25 / $269.87 / $269.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.49 / $637.16 / $717.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.87 / $420.86 / $624.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.37 / $18,772.80 / $33,677.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.35 / $537.47 / $2,966.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.87 / $529.48 / $634.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.17 / $2,250,000.00 / $2,400,000.00