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Connecticut rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.91 / $406.91 / $406.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.82 / $169.91 / $406.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.75 / $229.90 / $538.86