go back

New Hampshire rates for HCPCS D4263

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.82 / $232.29 / $238.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.00 / $238.01 / $325.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.88 / $427.20 / $839.16