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Nevada 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
$343.40 / $343.40 / $367.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.26 / $343.40 / $367.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.16 / $394.16 / $436.41
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $425.00 / $757.14
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.31 / $1,637.08 / $1,637.08