go back

Connecticut rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.76 / $987.76 / $987.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.44 / $987.76 / $987.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.30 / $655.23 / $1,050.08