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Wyoming rates for HCPCS D4263

Bone Replacement Graft - Retained Natural Tooth - First Site In Quadrant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.74 / $196.05 / $234.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.00 / $418.00 / $418.00