Code: D4263

Description:
BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD
Other Descriptions:
BONE REPL GRAFT - RET NAT TOOTH - 1ST SITE QUAD
Bone replce graft first site
Related codes:
Code: D4260
Osseous Surgery (including Elevation Of A Full Thickness Flap And Closure) – Four Or More Contiguous
Code: D4261
Osseous Surgery (including Elevation Of A Full Thickness Flap And Closure) – One To Three Contiguous
Code: D4264
Bone replce graft each add
Code: D4265
Bio mtrls to aid soft/os reg
Code: D4266
Guided Tissue Regeneration - Resorbable Barrier, Per Site
Code: D4267
Guided Tissue Regeneration - Nonresorbable Barrier, Per Site (includes Membrane Removal)
Code: D4268
Surgical Revision Procedure, Per Tooth
California
Hospital Address Code Price Last Updated
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento D4263 $525 [source] 3 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco D4263 $525 [source] 3 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills D4263 $525 [source] 3 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento D4263 $525 [source] 3 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch D4263 $525 [source] 3 years ago
Modesto Medical Center 4601 Dale Rd, Modesto D4263 $525 [source] 3 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville D4263 $525 [source] 3 years ago
San Leandro Medical Center 2500 Merced St, San Leandro D4263 $525 [source] 3 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek D4263 $525 [source] 3 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara D4263 $525 [source] 3 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose D4263 $525 [source] 3 years ago
Richmond Medical Center 901 Nevin Ave, Richmond D4263 $525 [source] 3 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon D4263 $525 [source] 3 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City D4263 $525 [source] 3 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo D4263 $525 [source] 3 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael D4263 $525 [source] 3 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco D4263 $525 [source] 3 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno D4263 $525 [source] 3 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville D4263 $525 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR §180.