| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,382.80 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,097.04 | $5,737.34 | $8,032.28 | |
Providence
| Facility | $1,097.04 | $5,737.34 | $8,032.28 |
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,382.80 | $9,813.00 | $14,552.94 | |
Moda Health
| Facility | $1,097.04 | $5,737.34 | $8,032.28 | |
Providence
| Facility | $1,097.04 | $5,737.34 | $8,032.28 |