go back

Kentucky rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.95 / $351.95 / $363.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.52 / $351.95 / $362.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.00 / $626.75 / $801.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00