Bone Replacement Graft — First Site (Per Quad) (D4263) — National Rates

Negotiated reimbursement rates for D4263 across 44 states, sourced from CMS Transparency in Coverage data. 532 rate records.

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National Average Negotiated Rate
$293
532 rate records · 44 states
📊 Data updated monthly · Last refresh: March 2026

About D4263 — Bone Replacement Graft — First Site (Per Quad)

CDT Code D4263 covers Bone Replacement Graft — First Site (Per Quad). The national average negotiated rate is $293. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4263

Missouri
$427
20 records
District of Columbia
$407
4 records
Minnesota
$367
5 records

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Full National Breakdown

Median
$279
Low
$83
High
$1,105

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Missouri$427
District of Columbia$407
Minnesota$367
New Hampshire$365
Oregon$359

↓ Bottom 5

StateAvg Rate
West Virginia$191
North Dakota$188
Tennessee$184
Indiana$171
Idaho$154

All States — D4263 Average Rates

Missouri
$427
District of Columbia
$407
Minnesota
$367
New Hampshire
$365
Oregon
$359
Connecticut
$353
Nevada
$352
Colorado
$344
Maine
$344
Washington
$332
New York
$316
Wisconsin
$315
Arizona
$313
California
$313
Pennsylvania
$309
Utah
$305
Ohio
$299
Hawaii
$282
Florida
$278
South Carolina
$276
Arkansas
$273
New Mexico
$266
Texas
$266
Michigan
$266
Alaska
$262
Iowa
$258
Oklahoma
$253
Kentucky
$251
Maryland
$248
New Jersey
$247
Georgia
$240
Kansas
$240
Massachusetts
$238
Illinois
$237
Wyoming
$226
Nebraska
$225
Virginia
$200
Alabama
$198
North Carolina
$194
West Virginia
$191
North Dakota
$188
Tennessee
$184
Indiana
$171
Idaho
$154
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Missouri$427$467$168$46720
District of Columbia$407$418$275$5184
Minnesota$367$337$205$5875
New Hampshire$365$360$156$4838
Oregon$359$366$300$36610
Connecticut$353$408$150$4464
Nevada$352$298$208$84022
Colorado$344$280$150$59610
Maine$344$344$344$3441
Washington$332$324$310$3668
New York$316$287$139$1,10519
Wisconsin$315$320$174$39915
Arizona$313$294$276$3569
California$313$332$123$467109
Pennsylvania$309$312$144$46715
Utah$305$258$190$4673
Ohio$299$291$172$41912
Hawaii$282$282$239$3263
Florida$278$257$146$44527
South Carolina$276$251$156$53434
Arkansas$273$273$273$2731
New Mexico$266$239$202$3864
Texas$266$240$235$33710
Michigan$266$236$156$46710
Alaska$262$262$262$2623
Iowa$258$258$225$2902
Oklahoma$253$267$195$2675
Kentucky$251$244$160$3758
Maryland$248$275$144$36918
New Jersey$247$254$123$40214
Georgia$240$233$139$40216
Kansas$240$168$168$4679
Massachusetts$238$238$210$2652
Illinois$237$185$150$3667
Wyoming$226$226$226$2261
Nebraska$225$225$225$2252
Virginia$200$212$150$2387
Alabama$198$192$184$2115
North Carolina$194$159$138$28614
West Virginia$191$191$191$1911
North Dakota$188$137$123$4025
Tennessee$184$154$152$2536
Indiana$171$150$150$28818
Idaho$154$147$143$1804
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