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Nevada 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
$182.98 / $182.98 / $196.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.06 / $182.98 / $232.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.81 / $210.06 / $509.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $401.29 / $493.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,837.51 / $1,837.51 / $1,837.51