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Wisconsin rates for HCPCS D4266

Guided Tissue Regeneration, Natural Teeth - Resorbable Barrier, Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $426.58 / $933.25
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $239.88 / $602.56
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $263.03 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $1,737.80 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $741.31 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $1,737.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,737.80 / $1,737.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $489.78 / $537.03