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Kansas 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
$450.32 / $450.32 / $450.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.76 / $345.63 / $450.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.18 / $860.18 / $860.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.16 / $387.12 / $463.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,390.37 / $2,390.37 / $2,390.37