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Wyoming 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
Professional
Modifier
Low / Median / High Price
$277.93 / $277.93 / $277.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.00 / $627.00 / $627.00