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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 July 2026.

How much rates vary

Facilitymedian $1,862 · 10th to 90th $1,549 to $2,512Professionalmedian $389 · 10th to 90th $324 to $398
$500$1K$2Kfacility $1,862professional $389

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84