| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $181.28 | $403.14 | $539.35 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |
Unlisted Maxillofacial Prosthetic Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $181.28 | $403.14 | $539.35 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |