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Mississippi rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.17 / $223.17 / $389.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.17 / $354.23 / $389.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$866.88 / $866.88 / $866.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.00 / $835.00 / $835.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00