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West Virginia 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
$134.80 / $134.80 / $134.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.80 / $191.09 / $406.91