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Closure of Mouth-Sinus Opening

Iowa rates for HCPCS D7260

Surgery to close an abnormal opening that has formed between the mouth and the sinus above the upper back teeth. This connection can develop after an upper tooth is removed or from a long-standing infection, and closing it prevents food, liquid, and bacteria from passing between the mouth and sinus.

Rates data updated July 2026.

Facilitymedian $525 · 10th–90th $339$1,0720%20%10th90th$525Professionalmedian $355 · 10th–90th $269$1,3180%20%10th90th$355$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$354.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,137.96
Typical High
$3,235.94
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$831.76
Typical High
$954.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$741.31