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Gum Tissue Graft From Own Mouth, First Site

Alabama rates for HCPCS D4273

A dental procedure that takes a small piece of the patient's own tissue and grafts it onto the gums at a tooth, implant, or toothless position. This charge covers the first site treated and includes the work at both the donor and recipient areas.

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,622 to $1,660Professionalmedian $589 · 10th to 90th $398 to $589
$500$1Kfacility $1,660professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
BCBS Alabama
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,659.59
Typical High
$1,659.59
BCBS Alabama
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84