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Florida rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.98 / $155.81 / $170.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.98 / $175.50 / $199.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.28 / $191.28 / $191.28
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.41 / $811.10 / $877.01
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.88 / $172.80 / $216.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $209.00 / $209.00