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Colorado 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
Facility
Modifier
Low / Median / High Price
$327.80 / $327.80 / $327.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.92 / $327.80 / $395.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.25 / $388.25 / $388.25
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.80 / $449.33 / $590.04