| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.30 | $1,181.30 | $8,500.00 | |
Medica
| Facility | $1,181.30 | $1,463.45 | $2,086.81 |
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 | $1,181.30 | $1,181.30 | $8,500.00 | |
Medica
| Facility | $1,181.30 | $1,463.45 | $2,086.81 |