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Georgia rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.91 / $169.91 / $169.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.10 / $177.75 / $218.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.08 / $209.00 / $359.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.92 / $228.92 / $918.70