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Florida rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.80 / $378.38 / $414.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.80 / $371.15 / $445.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.64 / $464.64 / $464.64
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.50 / $1,027.73 / $1,111.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.50 / $281.68 / $593.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $50.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.00 / $458.00 / $458.00