Code: D4261

Description:
OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD
Other Descriptions:
OSSEOUS SURG 1-3 CONTIG/TOOTH BOUND SPACES-QUAD
Related codes:
Code: D4260
Osseous Surgery (including Elevation Of A Full Thickness Flap And Closure) – Four Or More Contiguous
Code: D4263
Bone Replacement Graft – Retained Natural Tooth – First Site In Quadrant
Code: D4264
Bone replce graft each add
Code: D4265
Bio mtrls to aid soft/os reg
Code: D4266
Guided Tissue Regeneration - Resorbable Barrier, Per Site
Code: D4267
Guided Tissue Regeneration - Nonresorbable Barrier, Per Site (includes Membrane Removal)
Code: D4268
Surgical Revision Procedure, Per Tooth
Florida
Hospital Address Code Price Last Updated
Baptist Hospital 1000 West Moreno St, Pensacola D4261 $741 [source] 3 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze D4261 $741 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay D4261 $1,170 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.