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Louisiana rates for HCPCS D4263

Bone Replacement Graft - Retained Natural Tooth - First Site In Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.31 / $183.07 / $218.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.31 / $183.07 / $218.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.06 / $284.29 / $289.98