| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $811.55 | $811.55 | $1,084.02 |
Aetna
| Professional | AA | $638.16 | $857.19 | $2,149.40 |
Aetna
| Professional | QZ | $825.28 | $1,713.43 | $2,149.40 |
Anesthesia for intraoral procedures, including biopsy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $811.55 | $811.55 | $1,084.02 |
Aetna
| Professional | AA | $638.16 | $857.19 | $2,149.40 |
Aetna
| Professional | QZ | $825.28 | $1,713.43 | $2,149.40 |