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Alabama rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.11 / $435.11 / $435.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.69 / $435.11 / $435.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.18 / $1,825.39 / $2,455.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.00 / $587.00 / $587.00