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New Jersey rates for HCPCS D4273

Autogenous Connective Tissue Graft Procedure (Including Donor And Recipient Surgical Sites) First Tooth, Implant, Or Edentulous Tooth Position In Graft

Facilitymedian $1,288 · 10th–90th $234–$6,4570%20%10th90th$1,288Professionalmedian $389 · 10th–90th $302–$4790%10%10th90th$389$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $478.63
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,011.87 / $7,585.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $436.52 / $676.08