go back

Georgia 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
$346.36 / $346.36 / $346.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.69 / $346.36 / $381.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.05 / $458.00 / $797.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.93 / $397.93 / $457.62