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Washington, DC rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.09 / $191.09 / $191.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.09 / $191.09 / $191.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $410.00 / $446.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.49 / $481.81 / $481.81