| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 | |
Horizon BCBS
| Facility | $470.66 | $543.75 | $1,224.29 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |
Unlisted Maxillofacial Prosthetic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Professional | $55,249.45 | $55,249.45 | $55,249.45 | |
Horizon BCBS
| Facility | $470.66 | $543.75 | $1,224.29 | |
United
| Facility | $1,529.00 | $3,352.00 | $10,536.00 |