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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.26 / $343.40 / $479.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.80 / $437.26 / $688.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.37 / $2,390.37 / $2,390.37