go back

West Virginia rates for HCPCS D4263

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

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