| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $77.25 | $93.75 | $126.12 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
Unlisted Maxillofacial Prosthetic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $77.25 | $93.75 | $126.12 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |