Repair Of A Sinus Opening In The Mouth

Connecticut rates for HCPCS D7261

Surgical closure of an unwanted opening between the mouth and the sinus above the upper back teeth, which can occur after an upper tooth is removed or from other trauma near that area. The gum tissue is repositioned and stitched to seal the opening and prevent food, liquid, or air from passing between the mouth and sinus. It's typically done at the time the opening is discovered, often right after the extraction that caused it.

Rates data updated October 2026.

How much rates vary

Professionalmedian $437 · 10th to 90th $316 to $692

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $269.15 Median $602.56 Typical High $602.56	Professional	None	$269.15	$602.56	$602.56
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $741.31	Professional	None	$316.23	$426.58	$741.31