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Arkansas rates for HCPCS D4263

Bone Repl Graft - Ret Nat Tooth - 1st Site Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.78 / $167.78 / $167.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.82 / $167.78 / $173.20