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North Dakota rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.95 / $183.95 / $183.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.42 / $183.95 / $204.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.04 / $361.95 / $391.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.17 / $259.58 / $355.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.00 / $1,274.00 / $1,274.00