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Kansas rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.94 / $258.94 / $258.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.46 / $198.70 / $258.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.27 / $401.27 / $401.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.97 / $228.51 / $446.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.00 / $1,274.00 / $1,274.00