| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.34 | $5,084.91 | $13,413.92 | |
Moda Health
| Facility | $35.36 | $173.27 | $893.61 | |
Providence
| Facility | $38.51 | $187.99 | $893.61 |
Closed treatment of temporomandibular dislocation; initial or subsequent
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $376.34 | $5,084.91 | $13,413.92 | |
Moda Health
| Facility | $35.36 | $173.27 | $893.61 | |
Providence
| Facility | $38.51 | $187.99 | $893.61 |