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Arkansas rates for HCPCS D4264

Bone Repl Gr - Ret Nat Tooth - Ea Add Site Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.07 / $143.07 / $143.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.69 / $140.97 / $144.43