Code: D4268

Description:
Surgical revision procedure
Other Descriptions:
Surgical revision procedure
Related codes:
Code: D4260
Osseous Surgery (including Elevation Of A Full Thickness Flap And Closure) – Four Or More Contiguous
Code: D4261
Osseous Surgery (including Elevation Of A Full Thickness Flap And Closure) – One To Three 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)
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospitals Wichita Inc. 929 N Saint Francis St, Wichita D4268 $38 [source] 3 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg D4268 $38 [source] 3 years ago
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan D4268 $541 [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.