go back

Louisiana 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
$359.64 / $405.64 / $484.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.64 / $405.64 / $484.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.60 / $424.16 / $432.64