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Arizona rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure (Including Donor And Recipient Surgical Sites) First Tooth, Implant, Or Edentulous Tooth Position In Graft

Facilitymedian $427 · 10th–90th $309–$6760%10%20%10th90th$427Professionalmedian $347 · 10th–90th $295–$4790%20%10th90th$347$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $478.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $676.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83