go back

Nevada 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
$151.37 / $151.37 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.19 / $151.37 / $198.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $173.72 / $386.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $293.00 / $493.00