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New Jersey 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
$92.06 / $92.06 / $92.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.06 / $174.06 / $196.05
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,369.74 / $3,704.57 / $7,708.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.69 / $196.10 / $201.93