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Nationwide rates for HCPCS D4263

Bone Replacement Graft - Retained Natural Tooth - First Site In Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $186.21 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,995.26 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $281.84 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $154.88 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $181.97 / $309.03