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Washington, DC 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
$332.41 / $332.41 / $332.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.41 / $332.41 / $332.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.80 / $478.80 / $521.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.40 / $837.51 / $837.51