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Virginia rates for HCPCS D4261

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.83 / $293.23 / $293.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.48 / $249.83 / $293.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.00 / $561.00 / $744.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.80 / $566.50 / $986.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.50 / $315.00 / $388.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.52 / $293.23 / $446.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.00 / $617.10 / $649.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.27 / $309.75 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.27 / $316.27 / $9,929.00