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North Dakota 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
$407.72 / $407.72 / $407.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.87 / $407.72 / $407.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.07 / $590.46 / $694.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.72 / $416.65 / $1,223.16